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- Required Information
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(e.g., Dr., Mr., Ms., Mrs., Miss, Rev.)
Nickname/Preferred First Name:
Suffix (Jr, IV, etc):
(e.g., Jr., Sr., II, III, etc.)
Prior/Alternate/Maiden Last Name:
Confirm Email Address:
Have you previously applied to a physical therapy program using PTCAS?
By checking this box, you authorize RF-PTCAS to release your name and contact information to your designated RF-PTCAS programs BEFORE you e-submit your final application to RF-PTCAS. This will allow your designated programs to send you important information about the local admissions process before you complete your RF-PTCAS application:
Please choose a username that is between 6 and 15 characters long
Create a unique password that is 6 to 10 characters long. It can include letters, numbers and special characters , _ , -. Password is Case Sensitive. Try to create a password that is easy to remember, but not easily guessed by others.
What was your childhood nickname?
Where did you spend your childhood summers?
What was the last name of your favorite teacher?
What school did you attend for sixth grade?
What was the last name of your best childhood friend?
What was the last name of your first boss?
What is the name of the hospital where you were born?
What is the name of the street on which you grew up?
What is the name of your favorite sports team?
What was your first pet's name?
What was the name of your first stuffed animal?
What is the name of your favorite book?
What is the last name of your favorite musician?
Who is your all-time favorite movie character?
What is the first name of your favorite uncle?
What is your oldest cousin's name?
What is the first name of your oldest niece?
What is the first name of your oldest nephew?
What is the first name of your favorite aunt?
In what city does your nearest sibling live?