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Admissions

Admissions

Admissions is currently closed and will reopen in Spring 2025.

If interested in applying, please begin obtaining these items for your complete application, in addition to the form below (application page):

Letters of recommendation (See below)
Personal Statement (See prompt below)
CV/Resume
Official PA Program Transcript

For additional questions about our program, please contact Alex Schroeder.

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

UK students should log in with their LinkBlue credentials. Those without a UK LinkBlue ID may click "Register" to create an account.

Name

First

Last

Today's Date

Program of Application*

You may apply for up to 2 tracks in one specialty. You may not apply for a medical AND surgical specialty track.

Medical Specialties

Hospital Medicine/Critical Care: St. Claire

Critical Care: UK Healthcare

Hospital Medicine: UK Healthcare

Surgical Specialties

General Surgery: Baptist Lexington

Cardiac Surgery: Baptist Louisville

Acute Care/Trauma Surgery: UK Healthcare

Demographics

Current Address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Current Address is the same as Permanent Address

Permanent Address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Preferred Phone Number

Preferred Email

Gender

Gender

Enter other…

Other

Date of Birth

State/Province of Birth

County of Birth

Are you eligible to work in the United States?

Yes

No

Other Information

Military Status

Military Branch

Still Serving

Languages Spoken

Education

Undergraduate Institution

Dates Attended

Undergraduate Institution II

If transferred during undergrad

Dates Attended

For second undergraduate institution.

Major(s)

Minor(s)

Graduate/Professional Institution

Dates Attended

Degree/Major

Experience

Experiences

Clinical Experience

Leadership

Volunteer

Extracurricular

Research

Teaching

Achievements

Honors

Scholarship

Professional Memberships

Publications

Clinical Experience Information

Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.

Total Hours of Clinical Experience

Leadership Experience Information

Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.

Total Hours of Leadership Experience

Volunteer Experience Information

Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.

Total Hours of Volunteer Experience

Extracurricular Experience Information

Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.

Total Hours of Extracurricular Experience

Research Experience Information

Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.

Total Hours of Research Experience

Teaching Experience Information

Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.

Total Hours of Teaching Experience

Achievements Information

Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.

Honors Information

Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.

Scholarship Information

Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.

Professional Membership Information

Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.

Publication Information

Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.

Licenses/Certifications

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

Yes

No

I am the first generation in my family to attend college (neither my mother nor my father attended college)

Yes

No

English is my primary language

Yes

No

Uploads

Personal Statement

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.

CV/Resume

One file only.
20 MB limit.
Allowed types: jpg, jpeg, png, pdf, doc, docx.

You may also have your references email your letters directly to Julia Berry.

Letter of reference from a PA program faculty member that can speak to your academic and professional abilities *

One file only.
20 MB limit.
Allowed types: pdf, doc, docx.

Letter of reference from a clinician who can speak to your clinical and professional abilities *

One file only.
20 MB limit.
Allowed types: pdf, doc, docx.

Optional Professional Reference

One file only.
20 MB limit.
Allowed types: pdf, doc, docx.

Official Transcript- Graduate

One file only.
18 MB limit.
Allowed types: jpg, jpeg, png, pdf, doc, docx.

Official Transcript- Professional (if applicable)

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?

Yes

No

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?

Yes

No

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?

Yes

No

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?

Yes

No

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.

I certify that all of the information and statements I have provided as part of this application process, including those statements contained in the application and as part of the evaluation verification process are current, accurate, and complete to the best of my knowledge. I understand that withholding information requested as part of the application process, or submitting false or misleading information may be grounds for denial of admission by the program or expulsion from said program after admission.

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.

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