TECHNICAL STANDARDS OF PHYSICAL THERAPY EDUCATION ATTESTATION

TECHNICAL STANDARDS OF PHYSICAL THERAPY EDUCATION ATTESTATION

I ________________________________________________________(print)

      First Name                               Middle Name                            Last Name

Have read and understand the purpose and guidelines of the “” Technical Standards of Physical Therapy Education” noted above and found in the Student Handbook.

I understand that successful completion of the Physical /Therapy Program is contingent upon my ability to perform the skills, with or without accommodations, listed in the Technical Standards document.

I understand that if an accommodation needs to be requested, I must assume the responsibility to contact Disability Resources prior to the initiation of any academic and/or clinical experience(s).

I understand that reasonable accommodations in the academic setting and reasonable accommodations in the clinical setting differ.

Once enrolled at Elon University Department of Physical Therapy Education, I understand that a faculty advisor will be appointed. If I have any questions following enrollment, I should contact the Chair of the Physical Therapy Program or my faculty advisor.

Signature:_______________________________Today’s Date: _____________

______________________________

          Home Street Address

______________________________

City               State             Zip Code

Sign a hard copy at orientation and upload a signed copy to Exxat.

Questions? 

Contact Dr. Charity Johansson, Interim Chair & Program Director of Physical Therapy Education

336-278-6523 or cjohanss@elon.edu