University of Delaware DPT Prerequisite Form

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The UD DPT program has a number of required courses which must be completed, with a grade of C or higher, prior to beginning the program. Please fill in the chart below identifying the items in bold including the course name, course number, credits earned, grade earned, whether the course was taken at an institution that uses a semester or quarter credit system, the institution where the course was taken, and the year. Please list only one course for each requirement, unless otherwise noted. For the courses requiring a lab, 6 credits total must be the lecture component and 2 credits total must be the lab component, for a total of 8 credits.

·  If you earned a grade for the lecture that is separate from the lab, please list both, with the grades and the number of credits reported for the subject.(see example below)

·  If you earned college credit for a course as Advanced Placement please list the grade as “AP” (this course needs to be shown on the undergraduate transcript & PTCAS application)

·  If you took Anatomy & Physiology 1 & 2 to fulfill both the Anatomy requirement and the Physiology requirement, please list one of the courses next to Anatomy w/lab and the other next to Physiology w/lab as well as the grades and credits you earned for each.

·  If you have not completed a course, leave ONLY the grade box blank and complete the other fields accordingly. The information provided in the other fields will be considered your “plan of study”. It is required that all courses be completed prior to the first day of the program. When you have completed the course(s) please submit an Academic Update to PTCAS, indicating the grade(s) earned.

Name (Last, First): ______Applicant PTCAS ID: 2017 Email: ______

Prerequisite / Code / Credits / Course Name / Course # / Credits earned / Grade / Sem. Or Qtr. / Institution / Year
EXAMPLE / SCI / 4 / General Science Lecture
and Lab / Bio100
Bio110 / 3
1 / B
A / Fall Sem
“ “ / USA Community College / 2009
Biology w/lab / BIO1 / 4
Biology w/lab / BIO2 / 4
Anatomy w/lab / ANAT / 4
Physiology w/lab / PHYS / 4
Physics w/lab / PHY1 / 4
Physics w/lab / PHY2 / 4
Chemistry w/lab / CHEM1 / 4
Chemistry w/lab / CHEM2 / 4
Statistics / STAT / 3
Intro Psych / PSY1 / 3
Highly Recommended Courses (NOTE: These courses are not required for admission, but please indicate if you have credit for them.)
Calculus / CALC / 3
English / ENGL / 3
Upper Psych / PSY1 / 3

GRE SCORES (The ETS University of Delaware institution code is "5811." We will utilize self-reported scores until we verify your official scores from ETS.)

Test Date* / Verbal Scaled Score / Verbal Percentile / Quantitative Scaled Score / Quantitative Percentile

*Please include planned test dates as well. NOTE: All applicants must have taken GRE at least once by the application deadline.