Graduate Admission Application

GRADUATE ADMISSION APPLICATION MS in Cancer Care Program Exercise Oncology Concentration

Saint Francis University Department of Physical Therapy Stokes Building, Suite 229 PO Box 600 Loretto, PA 15940 (814) 472-3988 FAX (814) 472-3140 www.francis.edu Reach higher…go far

August 2010 Page 2 of 6 Mail to: Saint Francis University Masters of Science in Cancer Care Department of Physical Therapy MSCC Program Graduate Admissions Application PO Box 600 Loretto, PA 15940

Instructions 1. Submit a non-refundable $35.00 application fee, made payable to Saint Francis University, with this application to the address noted above. 2. Request official transcripts from all undergraduate and graduate institutions attended to be submitted to the above address. Transcripts must be received in sealed envelopes or they will not be considered official. 3. Submit a brief typed essay, 300 words or less, outlining your reasons for pursuing the MS in Cancer Care. 4. Submit three letters of recommendation from at least one faculty member and others who can attest to your academic and professional potential for graduate study.

Please Print or Type Name: ______Social Security No. ______(Last, First, Middle) Please list other name(s) which may have previously appeared on academic records: ______Mailing address: ______Permanent Address: ______

Home Telephone: (______)______Cell Telephone: (_____)______Email: ______□ Male □ Female Date of Birth _____/_____/_____ month/date/year Citizenship: □ U.S. Citizen □ U.S. Permanent Resident □ Other Visa type ______If Other, Country of Citizenship: ______

Applying to Start: Year ______

Certifications: EP-C/HFS ____ CSCS____ CES_____ Other:______

Academic History In the table below, please list all colleges and universities you have attended regardless of whether you finished a degree program, beginning with the most recent. One official transcript from each of these institutions must be submitted. If you are currently completing your bachelor’s degree, please list the institution, state the degree you are pursuing and month and year you anticipate completion.

August 2010 Page 3 of 6 Name of Location Area of Study Dates Attended Degree Awarded Institution (city, state)

If additional space is needed, please attach a supplementary sheet; include your name and staple it to this application form.

Racial/Ethnic Background This information is for statistical purposes only and has no bearing on admission to the University. Response is optional. □ Non-resident alien □ Hispanic/Latino □ White □ Asian □ Two or more races □ Black or African American □ American Indian or Alaskan Native □ Unknown □Native Hawaiian or other Pacific Islander

International Students International applicants must submit satisfactory scores from the Test of English as a Foreign Language (T.O.E.F.L.). Applicants whose native language is English are exempt from this requirement. International students must send their transcripts to an international agency where the transcripts will be converted to the American academic scale. International applicants must also submit an affidavit of financial support after acceptance to the University. Instructions about this disclosure may be obtained by calling the Office of Admissions at 866-342-5738. International students should apply for admission and the required testing well in advance in order to ensure evaluation of their credentials in a time frame which is equitable to themselves and the Admissions Committee.

TOEFL Score: ______

Signature of Applicant I certify that the information provided by me is accurate and complete to the best of my knowledge and understand that all records become the property of Saint Francis University and cannot be returned to the applicant nor forwarded to a third party.

Applicant Signature ______Date ______

August 2010 Page 4 of 6 The following are required for consideration of admission:

 A completed Bachelor’s Degree prior to beginning the program.  A completed graduate admission application.

 The completion of the following prerequisites or their equivalent with at least a cumulative 3.000 QPA o General Biology with Lab o Human Anatomy and Physiology I with Lab o Human Anatomy and Physiology II with Lab o Exercise Physiology with Lab * o Clinical Exercise Physiology* o Exercise Testing and Prescription* o One Psychology course at or above the 200 level o A Statistics and/ or Research Methods course o Coursework in Chemistry, Cell Biology, Genetics and Immunology are suggested but not required. o EP-C or similar BS level Certification is recommended but not required

• No grades in the conferring degree or prerequisites less than a “C” • *Students not possessing the above requirements may enroll in Saint Francis University courses to meet the requirement.

Please note any courses you are currently enrolled in or plan to enroll in:

Dept. Number Title Institution Credits

If additional space is needed, please attach a supplementary sheet; include your name and staple it to this application form.

Semester: ______Expected Completion Date:______

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