Northeastern University Application Procedures

In addition to the core CASPA application, the CASPA portal allows us to request program-specific information from applicants through the Program Materials section at https://caspa.liaisoncas.com. Be sure to carefully read this page before completing your CASPA application.

In order for your application to be considered complete and be reviewed, the program must have the following material:

Submitted Through CASPA Mailed Directly to the Program Office in one package o Verified CASPA application o Northeastern Data Sheet o Northeastern-specific required information, o $75 Northeastern Application Fee, if applicable including: o 2nd Clinical Reference, if applicable  CV or Resume See A and B below for details.  Additional Required Questions  Personal Statement Northeastern University seniors and alum who have submitted 2 clinical references through CASPA, need NOT submit a completed Data Sheet and Fee. All other applicants must submit the Data Sheet and Fee.

A. Data Sheet and Application Fee

Please complete this Application Data Sheet and mail it along with your $75 Northeastern Application Fee by our September 1, 2015 deadline directly to the Northeastern PA Program at: Northeastern University Physician Assistant Program 202 Robinson Hall 360 Huntington Avenue Boston, MA 02115

The Northeastern Application Fee must be in the form of a personal check or money order made payable to Northeastern University. We are unable to accept cash or credit card payments. The $75 fee is waived if you are a current Northeastern senior in a bachelor’s degree program or an alumnus/a who received a bachelor’s degree from Northeastern.

B. 2nd Clinical Reference (if applicable)

Northeastern University requires that at least two references submitted to CASPA be from individuals with whom you have worked in a clinical environment. The evaluator should comment on your clinical background including an assessment of your clinical performance, the type of hands-on duties you perform, and your ability to relate to patients and others on the health care team. References from shadowing experiences are not appropriate as you are observing rather than actually performing hands-on activities yourself. If you have not submitted at least two clinical references through CASPA, you may submit the second required clinical reference directly to Northeastern University. This reference should be from a clinical colleague who has not already submitted a reference with the CASPA application and given to you in an envelope with the evaluator’s signature written across the sealed flap. The reference must be included with the Data Sheet and application fee (if applicable) you mail to the program.

Emailed or faxed Application Data Sheets or clinical references will not be accepted. If you intend to mail your Application Data Sheet and Northeastern Application Fee within 2 weeks of the September 1 deadline, we strongly recommend that you send it via overnight mail to ensure that we receive it in time. You must begin your CASPA application first as your CASPA ID number is required on the Application Data Sheet.

We will notify you via email when your CASPA application is verified. You will receive another email from the Program when your Application Data Sheet and Northeastern Application Fee is received. We will not review your application until all material is received by the Program. Data Sheet for Class Entering August 2016 Northeastern University PHYSICIAN ASSISTANT PROGRAM 202 Robinson Hall 360 Huntington Avenue Boston, MA 02115-5000 617-373-3195 [email protected]

A. General Information:

Name as it appears on CASPA Application: Preferred Address: City, State, Zip Code: Email Address: CASPA ID Number:

B. Additional Clinical Reference (if needed):

If you already submitted two clinical references to CASPA, proceed to Section C.

If you submitted only one clinical reference to CASPA, you will need to submit a second clinical reference with this data sheet.

Please provide the name, address, and telephone number of the evaluator who is a health care provider with whom you have worked and who has not already submitted an evaluation to CASPA. This clinical reference must be submitted in an envelope with the evaluator’s signature written across the sealed flap and given to you for inclusion with the data sheet and application fee you mail directly to the program at the address above.

Evaluator’s Name: Address: City, State, Zip Code: Phone Number:

C. Application Fee

A nonrefundable Northeastern application fee of $75 in the form of a personal check or money order made payable to Northeastern University must accompany this data sheet. This fee is waived for applicants who received a bachelor’s degree from Northeastern or are current seniors in a bachelor's degree program at Northeastern.

$75 check or money order enclosed (cash or credit card not accepted.)

I am a Northeastern University alum or a current senior in a bachelor’s degree program.

Please sign and date below.

______Date Signature