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Physician Assistant ProgramKansas State University121F Justin Hall1324 Lovers LaneManhattan, KS 66506-1401785-532-1566785-532-5504 faxPAadm@k-state.edu
Fields marked with an "*" are required.
Enter your CASPA Applicaiton number
Enter your Social Security Number here
SECTION IProvide your personal information below.
Enter your mailing address
Enter the best phone number to contact you
SECTION IIProvide supplemental personal information below.
Please indicate if you have a religious preference, if none enter 'none'
SECTION IVMilitary Service / Relationship
Please describe your own, or the service of a related parent, or spouse/partner in the military below.
Note: If you currently or have previously served in any of the indicated branches, AND are the spouse/partner or child of a currently or formerly serving military member please answer using your own service.
Please provide your K-State Specific narrative statement. Please write a concise narrative stating your reason(s) for wanting to attend the K-State PA Program. This is your opportunity to tell the Admissions committee why you deserve serious consideration for a seat in the next class. This should NOT be a duplication of your CASPA narrative. Do not cut and paste your CASPA narrative. Specifically, tell us:
SECTION VIICommunity ServicePlease list all hours even if you listed them in CASPA.
I certify that all statements made in this supplemental application are complete and true, and understand that every student enrolling at Kansas State University agrees to abide by all policies and regulations of the University that may be found in the Graduate Handbook or in the University Policy & Procedures Manual, or other official publication. I understand and agree that any misrepresentation of facts on this supplemental application is just cause for refusal of admission or dismissal from Kansas State University.
As acceptance of this registration, please type your full name below.
(Name that appears below is deemed an electronic signature)
Enter your full name as an electronic signature