PHYSICIAN ASSISTANT PROGRAM



Prospective Student Waiver RequestApplicant: Click or tap here to enter text.GPA: ?Prerequisite Waiver: ?GPA RecalculationIn the section below, please provide an explanation as to the circumstances of your situation and request to re-evaluate your transcripts and GPA calculation.Click or tap here to enter text.Prerequisite WaiverA waiver of the six-year requirement, or grade requirement may be granted, if 1) there is a continuous employment history that would demonstrate knowledge of the course content, or 2) the applicant has a “B” grade or better, within the last six (6) years, in a more advanced course in the same subject. Knowledge-based testing does not satisfy any of the prerequisites.Please check the prerequisite course below that requires a waiver.? Medical Terminology (1)? Biology with Lab (4)? Microbiology (3)? Organic Chemistry with Lab (4)? Human Anatomy/Anatomy & Physiology I (4)? Inorganic Chemistry/Biochemistry w/Lab (4)? Human Physiology/Anatomy & Physiology II (4)? Psychology (Birth through Old Age/Across the Lifespan) (3)In the section below, please indicate which option from above that you are documenting in your waiver request. Employment History: (Comparable or complimentary experience – Please explain in detail referencing the prerequisite course.)Click or tap here to enter text.Academic History: (Comparable or complimentary experience – Please explain in detail referencing the prerequisite course.)Click or tap here to enter text.Awards/Services/Recognitions: (If they support your explanation)Click or tap here to enter text.Please provide any additional documentation to support your explanation.Student SignatureDatePA Program Use OnlyProgram Receipt:Decision:Notification: ................
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