Pathways Application for Admission Pathways for Allied Health Success Application Semester and Year of Application * Contact Information Name * Email Address * Current Address * Student ID * Home Phone Number * Cell Phone Number * Work Phone Number * Previous Education Have you taken courses at UNT? * Yes No What courses, which semester & what final grades did you receive? Have you taken rehabilitation studies courses at any other college? * Yes No Where, what courses, which semester, what grades, and how many credits did you receive? Which university did you transfer to UNT from? Do you hold an Associate's degree? * Yes No If so, what is the full title of your degree? Overall GPA Anticipated Graduation Date Anticipated Practicum Semester * Goals and Experiences Please attach your typewritten responses to the following prompts. Students should be aware that both the content (completeness, depth of thought, clarity of expression) and the format (grammar, punctuation, spelling, neatness) of the responses will be taken into consideration. Use this as an opportunity to show your writing skills and professionalism. A statement of your career goals in the field of rehabilitation, including a description of how the degree in Rehabilitation Studies can help you reach those goals. A description of any personal or professional experience you have had that you consider to be related to the field of rehabilitation. If you have professional experience, also attach a resume with the job title, location, description of the position, supervisor's name, and length of time at position. Question One - Career Goals * Files must be less than 2 MB.Allowed file types: txt rtf pdf doc docx. Question Two - Experiences * Files must be less than 2 MB.Allowed file types: txt rtf pdf doc docx. Resume * Files must be less than 2 MB.Allowed file types: txt rtf pdf doc docx. Demographic Information - Optional Gender Female Male Ethnic Background Black/African American Asian Hispanic/Latino American Indian/Alaska Native White Do you have a disability? Yes No If yes, please describe your disability Are you currently serving in the military? Yes No Are you a military veteran? Yes No Criminal Background Checks Students are required to complete 400 hours of experience in the field of rehabilitation studies. Students who have not worked in the field are encouraged to take the 400-hour practicum so that they can have the opportunity for more hands on experience. In order to complete the practicum, some agencies require criminal background checks. While a criminal history does not necessarily eliminate you from participation in the practicum or rehabilitation studies program, there are some types of offenses that would preclude placement in a particular agency. Do you have any criminal history or criminal charges pending? * Yes No If so, please explain