Post-Professional Certificate in Orthopedic Physical Therapy

Please email the Office of Graduate Admissions at gradstudy@hartford.edu with any questions.

Personal Information

First Name

Middle Name

Last Name

Other Last Names Used

Email Address

Birthdate

Mobile Phone

Sex

Race/Ethnicity

Colleges and universities are asked by many groups, including the federal government, accrediting associations, college guides, and newspapers, to describe the ethnic/racial backgrounds of their students and employees. In order to respond to these requests, we ask you to answer the following two questions. View Definitions

White: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

Black or African American: A person having origins in any of the black racial groups of Africa.

Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

Asian: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

American Indian or Alaska Native: A person having origins in any of the original peoples of North and South America (including Central America), who maintains cultural identification through tribal affiliation or community attachment.

Native Hawaiian or Other Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

Are you Hispanic or Latino?

Yes

No

Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:

Permanent Address

Country

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Region

Postal Code

Mailing Address

Country

Street

City

Region

Postal Code

Primary Citizenship

Dual Citizenship

Residency Status

U.S. Permanent Resident

Material Upload

Physical Therapist License

Please upload a copy of your current Physical Therapist License.

Course Registration

Full-time or part-time

Full-time (9 credits or more per semester)

Part-time (6 credits or less per semester)

Program selection

Degree

App Round (hidden field)

Generate PIN (hidden field)

Submitted Flag (hidden field)

Yes

If applicant has app of same type in progress, always create new app (hidden field)

Yes