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The UK PA Residency Program application portal will open March 1st - 31st. Applicants may apply for up to 2 tracks.

If interested in applying, please obtain these items for your complete application, in addition to filling out the form below:

  • Personal statement
  • CV/Resume
  • Letter of reference from PA faculty member
  • Letter of reference from clinician

For additional questions, please contact Lana Ogle (lana.ogle@uky.edu).

To save a draft of this application please either login or register.

UK students should log in with their LinkBlue credentials.

Name

Program of Application*

You may apply for up to 2 tracks.

Medical Specialties
Surgical Specialties

Demographics

Current Address
Permanent Address
Gender
Are you eligible to work in the United States?

Other Information

Education

If transferred during undergrad
For second undergraduate institution.

 


 

 

Experience

Experiences
Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.
Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.
Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.
Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.
Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.
Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.
Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.
Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.
Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.
Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.
Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.
Please include organization name, certification type, date expires, and details of certification.
I am from a family that lives in an area that is designated as a Health Professional Shortage Area, or Medically Underserved Area
I am the first generation in my family to attend college (neither my mother nor my father attended college)
English is my primary language

Uploads

In 500 words or less, describe some attributes about your personal background and how it informs your interest in a residency. How will the selected specialty contribute to your career?
One file only.
20 MB limit.
Allowed types: pdf, doc, docx.
One file only.
20 MB limit.
Allowed types: jpg, jpeg, png, pdf, doc, docx.

You may also have your references email a PDF letter directly to Lana Ogle (lana.ogle@uky.edu).

One file only.
20 MB limit.
Allowed types: pdf, doc, docx.
One file only.
20 MB limit.
Allowed types: pdf, doc, docx.
One file only.
20 MB limit.
Allowed types: pdf, doc, docx.
One file only.
18 MB limit.
Allowed types: jpg, jpeg, png, pdf, doc, docx.
Note: Official Transcript will be required upon graduating. Please provide unofficial transcript if unable to acquire official transcripts. 
One file only.
20 MB limit.
Allowed types: jpg, jpeg, png, pdf, doc, docx.
Have you ever plead guilty or no contest to a misdemeanor criminal offense, or been found guilty by a court of such a criminal offense?
If you answered "Yes" to the previous question, you must provide an explanation. Include 1) a brief description of the incident and/or arrest, 2) specific charge made, 3) related dates, 4) consequence, and 5) a reflection on the incident and how the incident has impacted your life.
Have you ever plead guilty or no contest to a felony criminal offense, or been found guilty by a court of such a criminal offense?
If you answered "Yes" to the previous question, you must provide an explanation. Include 1) a brief description of the incident and/or arrest, 2) specific charge made, 3) related dates, 4) consequence, and 5) a reflection on the incident and how the incident has impacted your life.
Have you ever had any certification, registration, license or clinical privileges revoked, suspended or in any way restricted by an institution, state or locality?
If you answered "Yes" to the previous question, you must provide an explanation. Include 1) a brief description of the incident and/or arrest, 2) specific charge made, 3) related dates, 4) consequence, and 5) a reflection on the incident and how the incident has impacted your life.
Have you ever been disciplined by any college, university, or professional school for: (1) unacceptable academic performance (academic probation, suspension, dismissal, etc.) or (2) conduct violations?
If you answered "Yes" to the previous question, you must provide an explanation. Include 1) a brief description of the incident and/or arrest, 2) specific charge made, 3) related dates, 4) consequence, and 5) a reflection on the incident and how the incident has impacted your life.

 

UNIVERSITY OF KENTUCKY PHYSICIAN ASSISTANT TECHNICAL AND BEHAVIORAL STANDARDS

One of the requirements for completing this application is the acknowledgement that that you have read, understand and can adhere to the Technical and Behavior Standards required for student matriculating into the Physician Assistant Post-Graduate Program. Please review the technical standards, and the behavioral standards.

I hereby acknowledge that I have read, understand and can adhere to the Technical and Behavioral Standards for the College of Health Sciences Physician Assistant Post-Graduate Program. I have been informed that the code of behavior described herein is the official behavior code for all employees, medical staff, faculty, students, and volunteers of University Hospital and the Ambulatory Care Program, and that the standards apply to all individuals who come into contact with patients or participate in activities associated with patient care.

I understand that as a participant in patient care services I shall be expected to maintain and uphold these specific standards and the intent of these standards in the performance of my duties and responsibilities.

UNIVERSITY DISCLOSURES

The Annual Safety and Security Report includes the latest statistics for the previous three years concerning reported crimes that occurred on campus; in certain off-campus buildings owned or controlled by UK; and on public property immediately adjacent to campus. The report also includes institutional policies concerning campus security. You can access the report at http://go.uky.edu/safetyreport. Paper copies will be provided upon request.

The Annual Fire Safety Report includes statistics for the three previous calendar years concerning reported fires in on-campus student housing facilities, such as residence halls, Greek housing, graduate housing, or at any facility designated as a place of residence for students. The report also includes a description of fire safety systems; yearly fire drills; policies on portable electrical appliances, furniture, decorations, bicycles/motorized scooters, and open flames; evacuation procedures; policies on fire safety education and training; and contact information. You can access the report at http://go.uky.edu/firereport. Paper copies will be provided upon request.

The Equity in Athletics Disclosure Act (EADA) requires co-educational institutions of higher education that participate in federal student aid and have intercollegiate athletic programs to prepare an annual EADA report. The Report on Athletic Program Participation Rates and Financial Support Data includes athletic participation, staffing, revenues and expenses for men's and women's teams. You can access the report at http://go.uky.edu/eadareport. Paper copies will be provided upon request.