PTA Program Planners

Health History and Physical Form (blank copy – a physical exam is required of all students entering health occupations programs at LSC)

Applying to the program?  All admission-related forms can be found within the online application process.  Visit, Hover over “Become a Student” and then choose the PTA program (on-campus) or PTA Military Bridge program.

Forms for students in the PTA program and/or alumni

Authorization for release of information (this is necessary for faculty to complete recommendations for jobs or scholarships).

Speaker Evaluation Form – use to evaluate guest speakers; may also be used to evaluate student presentations, including classroom and outreach

Group Presentation Rating Form – for outreach projects (1 per student)

Project Outcome Report 2-16-17  – for outreach projects (1 per group)

Exam Analysis (blank form for exams, quizzes, etc).