The admission process requires submission of an online application, and if warranted, an interview, which will be conducted virtually. Please fill out this application form to be considered for the certificate program. We will notify you via email whether you were selected to move forward. If you have any questions regarding the application, please reach out to the Certificate Program Director Terry McGee at tmcgee9@jhmi.edu.

Please refer to the certificate program website for due dates and program information.

If possible, please use the Chrome browser to fill out this form. Please don't use Internet Explorer, as it may not support certain features.

Eligibility Criteria

Please indicate that you fulfill the minimum requirements to apply for the certificate program. NOTE: if you select "No" for any of the below, you are ineligible to apply for the certificate program at this time.

Graduate of an accredited physical therapy program*

Yes, completed program

Will complete academic programming prior to start of program

No

If NO, which of the following best describes your current role?

Athletic Trainer

Occupational Therapist

Sports Therapist

Hand Therapist

Doctor of Osteopathic Medicine

Chiropractor

Other

If other is selected, please fill in your role

Licensure in your current jurisdiction*

Yes, currently licensed

Will be eligible for licensure

No

State/Province/Country of Licensure*

If you are unlicensed, when will you be eligible for licensure?

Are you proficient in English?*

Yes

No

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Applicant Information

Name

First Name*

Last Name*

Address

Street Address*

Street Address Line 2

City*

State / Province

Postal / Zip Code

Country*

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Contact Information

Phone Number*

Email*

How did you hear about the certificate program?*

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Career Statement

Why have you chosen to apply to the Orthopaedic Physical Therapy Certificate Program at Johns Hopkins?*

What experience do you have working with individuals with neuromusculoskeletal diagnoses?*

What is your area of clinical interest or practice area?*

What challenges do you anticipate with your involvement in this certificate program?*

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Professional Resume/CV

Please upload a current copy of your professional resume/CV.

Upload Resume/CV*

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I hereby certify that the information in my application is true and correct to the best of my knowledge. I understand that a false statement may disqualify me from the selection process.

Acknowledgement

Yes No

A copy of your application will be emailed to you upon submission. If you do not receive an email within 24 hours, please reach out to the Certificate Program Director Terry McGee at tmcgee9@jhmi.edu.

Do not fill in this field: