Physical Therapist Assistant Program Application

Personal Information
Program contact is made through email. Please ensure you accept emails from and that you check your emails regularly.
Colleges Attended
List all colleges and universities attended, including KCKCC, beginning with most recent. Please request each college forward two (2) official transcripts, one to the college registrar and one to the PTA program. Your application is not complete until transcripts are received. Transcripts from KCKCC will be requested by the PTA Program Coordinator.
Course Requirements


Please complete the following information about the for hours observation you completed. Additionally, please submit a reflection paperĀ pta@kckcc.eduĀ outlining how your observation experience confirmed your desire to enter the field of physical therapy and what skills you possess that would be of benefit to a physical therapy department.

By selecting an option, I indicate that I have read the program brochure in its entirety. I certify that I understand the physical and mental requirements of the program and the profession and am able to perform these skills (with reasonable accommodations, if applicable). Furthermore, I certify that all information on this application is correct and complete. False information could result in dismissal from the program.
In lieu of completing the observation hours, I have been a tech/aide in a physical therapy setting for at least 150 hrs and will be submitting proof of hours and letter of recommendation from a supervising PT/PTA. I will still submit a reflection paper related to my experiences.

If you have a documented disability that requires accommodations for the interview assessment, you must contact the Student Accessibility and Support Services at 913-288-7664. It is recommended that this process be started 6 weeks prior to the application deadline.