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PAS Residency Program Application

Deadline to apply: April 15th

UK students or staff with a LinkBlue ID and password may log into the CHS website to save edits on their application.   Unfortunately, if an applicant does not have a UK account they will not be able to save their application progress.  We apologize for the inconvenience this may cause. 

To log into the CHS website, click the menu icon at the top right, and click "Log In".


Demographics
Current Address
Permanent Address
Other Information
Education

 


 

Experience
Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.
Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.
Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.
Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.
Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.
Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.
Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.
Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.
Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.
Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.
Please Include Program/Organization Name, title of experience, dates completed, hours completed, description, Start date, and end date.
Please include organization name, certification type, date expires, and details of certification.
Uploads
Files must be less than 20 MB.
Allowed file types: pdf doc docx.
Files must be less than 20 MB.
Allowed file types: pdf doc docx.

In addition to the uploaded recommendation letter below, each reference will be contacted to complete a one-page evaluation rating form.

Files must be less than 20 MB.
Allowed file types: pdf doc docx.
Files must be less than 20 MB.
Allowed file types: pdf doc docx.
Files must be less than 20 MB.
Allowed file types: jpg jpeg png pdf doc docx.
Files must be less than 20 MB.
Allowed file types: pdf doc docx.
Files must be less than 20 MB.
Allowed file types: pdf doc docx.
Files must be less than 20 MB.
Allowed file types: pdf doc docx.
If you answered "Yes" to the previous question, you must provide an explanation. Include 1) a brief description of the incident and/or arrest, 2) specific charge made, 3) related dates, 4) consequence, and 5) a reflection on the incident and how the incident has impacted your life.
If you answered "Yes" to the previous question, you must provide an explanation. Include 1) a brief description of the incident and/or arrest, 2) specific charge made, 3) related dates, 4) consequence, and 5) a reflection on the incident and how the incident has impacted your life.
If you answered "Yes" to the previous question, you must provide an explanation. Include 1) a brief description of the incident and/or arrest, 2) specific charge made, 3) related dates, 4) consequence, and 5) a reflection on the incident and how the incident has impacted your life.
If you answered "Yes" to the previous question, you must provide an explanation. Include 1) a brief description of the incident and/or arrest, 2) specific charge made, 3) related dates, 4) consequence, and 5) a reflection on the incident and how the incident has impacted your life.

 

UNIVERSITY OF KENTUCKY PHYSICIAN ASSISTANT TECHNICAL AND BEHAVIORAL STANDARDS

One of the requirements for completing this application is the acknowledgement that that you have read, understand and can adhere to the Technical and Behavior Standards required for student matriculating into the Physician Assistant Post-Graduate Program. Please review the technical standards, and the behavioral standards.

I hereby acknowledge that I have read, understand and can adhere to the Technical and Behavioral Standards for the College of Health Sciences Physician Assistant Post-Graduate Program. I have been informed that the code of behavior described herein is the official behavior code for all employees, medical staff, faculty, students, and volunteers of University Hospital and the Ambulatory Care Program, and that the standards apply to all individuals who come into contact with patients or participate in activities associated with patient care.

I understand that as a participant in patient care services I shall be expected to maintain and uphold these specific standards and the intent of these standards in the performance of my duties and responsibilities.