College of Osteopathic Medicine Physician Assistant Studies Program

Dear Applicant,

Thank you for your interest in Touro University – Nevada’s Physician Assistant Studies Program (MPAS). Graduates
of this rigorous and innovative program are provided the knowledge and skills necessary to become valuable members
of the Physician/PA team which delivers high quality health care. Included with this letter is your supplemental
application and Technical Standards Certification.

Touro University – Nevada employs a rolling admissions cycle for the MPAS program. Following the review of the
completed supplemental application for admission by the Admissions Committee, eligible candidates will be invited to
attend a personal interview with members of the committee. Neither submission of an application for admission nor
eligibility for an interview guarantees acceptance into the program.

APPLICATION INSTRUCTIONS

• A non-refundable application fee in the amount of $50.00 must accompany your application. You are able to pay
by check, money order or credit card. Please make your check, money order payab1e to TUCOM - Nevada. To
pay by credit card return the enclosed credit card authorization form. An application received without the fee will
be returned unprocessed. All application materials should be mailed to: Touro University – Nevada, Attn. MPAS
Admissions, 874 American Pacific Drive, Henderson, NV 89014.
• Unofficial copies of transcripts may be submitted for review by the Admissions Committee to determine interview
eligibility but, if accepted, official copies will be required prior to the start of classes.
• All foreign medical graduates must submit official translation of their transcripts from a recognized organization.
Examples of such organizations are the World Educational Service or The International Education Research
Foundation.
• All foreign applicants or those in which English is a second language must submit TOEFL Scores.
• Only complete applications which are signed by the applicant will be considered.
• Direct questions regarding your application status to the Touro University – Nevada Office of Admissions. It is
strongly suggested the application status checks be made via e-mail to admissionsnv@touro.edu. Inquiries may
also be made via telephone at (702)777-1751 between the hours of 8:00 a.m. and 5:00 p.m. (PST) but preference
will be given to e-mail inquiries.
• Please make sure to identify yourself as an applicant to the Nevada Masters of Physician Assistant program on all
correspondence, voice mail, and e-mail. Ensure that your letters of recommendation and transcripts are identified
in the same manner.

Thank you again for your interest in becoming a student of the Masters of Physician Assistant Studies program at
Touro University – Nevada.

Sincerely,

Roger Corbman, MPA

Director of Admissions
Touro University – Nevada

Important Notice: All materials submitted by applicants become property of Touro University. Materials submitted
by applicants who are not accepted for admission is destroyed three months after the close of the admissions cycle.
Information gathered is used solely for assessing applicant qualifications and is neither shared nor transmitted outside
the offices of Touro University.
 TOURO UNIVERSITY – NEVADA
Master of Physician Assistant Studies
(Please Type)

1. Social Security Number______-______-______ 2. Date of Birth____/____/19____

3. Last Name________________________ First Name_____________________ MI_____

4. Gender________________ 5. Ethnicity (Optional)________________

6. Preferred Mailing _____________________________________________________________

Address

______________________________________________________________

7. Telephone (_____) _______-________ 8. E-Mail Address ____________________________

9. General Data

A. ______ U.S. Citizen ______ Permanent Resident Visa

______ Student Visa (F-1) ______Other (Temporary Resident, etc.)

B. Graduate School Degree____________________________ Date_________________

Schools Attended: ____________________________ Date__________________

C. Undergraduate Degree ____________________________ Date_________________

Schools Attended: _____________________________ Date_________________

Schools Attended: _____________________________ Date_________________

10. Have you ever matriculated in or attended any PA program? Yes _______ No_________

11. Have you ever been convicted of a felony or misdemeanor? Yes_______ No_________
(If yes, please attach a separate sheet of paper to explain)

12. What award(s) or recognition(s) have you received in college?

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

NOTICE: ALL MATERIALS SUBMITTED BY APPLICANTS BECAOME THE PROPERTY OF TOURO UNIVERSITY. MATERIAL SUBMITTED BY
APPLICANTS WHO ARE NOT ACCEPTED FOR ADMISSION IS DESTROYED THREE MONTHS AFTER THE CLOSE OF THE ADMISSION CYCLE.
INFORMATION GATHERED IS USED SOLEY FOR ASSESSING APPLICANT QUALIFICATIONS AND IS NEITHER SHARED NOR TRANSMITTED
OUTSIDE THE OFFICES OF TOUR UNIVERSITY.
13. List your favorite hobbies and/or non-academic interests:
_______________________________________________________________________________
_______________________________________________________________________________

14. Employment experience during the last three years (list in order of most recent experience):
Employer Occupation/Position Duration of Employment
_______________________________________________________________________________
_______________________________________________________________________________

15. Volunteer Experience, if any, during the last three years (list in order of most recent experience):
Activity Sponsor/Duration of Service Position
_______________________________________________________________________________
_______________________________________________________________________________

16. Explain why you have chosen to apply to Touro University – Nevada’s Master of Physician
Assistant Studies Program:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

17. If you could change one thing about today’s health care system, what would it be and why?
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

18. Why should the Admissions Committee accept you into this year’s class?
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
19. Personal Statement – In the space provided, please respond to the following statement:

Describe the personal characteristics you possess and the life experiences you have had that would contribute to your becoming an
outstanding Physician Assistant. Please include information that will enable the Admissions Committee to understand your unique
qualities.

CERTIFICATION/STATEMENT: I certify that the information I have recorded in my Primary application

is accurate to the best of my knowledge. I recognize that any intentional misrepresentation on my part may
cause me to be denied admission or subject to dismissal from Touro University – Nevada’s Master of
Physician Assistant Studies Program in the event I was accepted.

Signature Date

Name (Please Print)

 Touro University – Nevada

Master of Physician Assistant Studies

Technical Standards Certification

Touro University – Nevada is committed to ensuring that otherwise qualified

disabled students fully and equally enjoy the benefits of a professional education.
Touro University - Nevada will make reasonable accommodations necessary to
enable a disabled student who is otherwise qualified to successfully complete the
degree requirements for a Physician Assistant.
However, Touro University – Nevada insists that all students meet the minimum
essential requirements to safely, efficiently and effectively practice as a Physician
Assistant. Please read the attached Technical Standards for admission.

I,_________________________, hereby certify that I have read the above

mentioned portions of the Touro University – Nevada’s Master of Physician

Assistant Studies Program and that I can meet all requirements listed therein,

either without accommodation or with reasonable accommodation from the

university.

Signature: _________________________

Date: _____________________________

Submit completed certification with Primary Application

 TOURO UNIVERSITY NEVADA
SCHOOL OF PHYSICIAN ASSISTANT STUDIES
MASTER OF PHYSICIAN ASSISTANT STUDIES PROGRAM

TECHNICAL STANDARDS FOR ADMISSION

Every applicant who seeks admission to the PA program is expected to possess those intellectual,
ethical, physical, and emotional capabilities required to undertake the full curriculum and achieve
the levels of competence required by the faculty. Once enrolled in the program each candidate for
the PA degree must be able, quickly and accurately, to integrate all information received, perform
as a member of a physician-PA team, and demonstrate the ability to learn, integrate, analyze and
synthesize information and data. The PA program will make every effort to provide reasonable
accommodations for the physically challenged students, however, in doing so, the program must
maintain the integrity of its curriculum and preserve those elements deemed essential to the
acquisition
of knowledge in all areas of medicine, including the demonstration of basic skills requisite for the
practice of medicine.

Accordingly, the program requires each student to meet certain technical requirements.

1. Observation: Students must have sufficient vision to be able to observe

demonstrations, experiments, and laboratory exercises in the basic sciences. They must be able
to observe a patient accurately at a distance and close at hand.

2. Communication: Students must be able to speak, hear, and observe in order to elicit
information, examine patients, describe changes in mood, activity, and posture, and perceive
non-verbal communication. Communication includes not only speech, but also reading and
writing. They must be able to communicate effectively and efficiently in oral and written form
with all members of the health care team.

3. Motor Function: Students must have sufficient motor function and execute
movements reasonably required to provide general care and emergency treatment to patients.
Examples of emergency treatment reasonably required for Physician Assistants are
cardiopulmonary resuscitation, administration of intravenous medication, the application of
pressure to stop bleeding, the opening of obstructed airways, and the suturing of simple
wounds. Such actions require coordination of both gross and fine muscular movements,
equilibrium, and functional use of the senses to touch and vision.

4. Sensory: Since PA students need enhanced ability in their sensory skills, it will be
necessary to evaluate for candidacy those individuals who are otherwise qualified, but who
have significant tactile sensory or proprioceptive disabilities. This includes individuals with
previous burns, sensory motor defects, cicatrix formation, and malformations of upper
extremities.

5. Mobility: Mobility to attend to emergencies and to perform such maneuvers, as CPR is

required.
6. Visual Integration: Consistent with ability to assess asymmetry, range of motion, and
tissue color and texture changes, it is essential for the candidate to have adequate visual
capabilities for the integration of evaluation and treatment of the patient.

7. Intellectual, Conceptual, Integrative, and Quantitative Abilities: The student must

be able to demonstrate ability in measurement, calculation, reasoning comparison and
contrasts, analysis and synthesis, and problem solving. Candidates and students must
demonstrate ability to comprehend three-dimensional relationships, and to understand spatial
relationships of structures.

8. Behavioral and Social Abilities: Students must possess the emotional health required
for full utilization of their intellectual abilities, the exercise of good judgment, the prompt
completion of all responsibilities attendant to the diagnosis and care of patients, and the
development of mature, sensitive relationships with patients and co-workers. Students must be
able to tolerate physically and mentally taxing workloads, adapt to changing environments,
display flexibility, and learn to function in the face of uncertainties inherent in treating the
problems of patients. Compassion, integrity, concern for others, interpersonal skills, interest,
and motivation are personal qualities that will be assessed during the admissions and education
process. Students must possess the ability to work effectively as a team member.

9. Participation in Physical Diagnosis and Skill Laboratories: Active participation in

physical diagnosis and skill laboratories is an admission, matriculation, and graduation
requirement. The development of diagnostic and procedural skills is taught in the first year
courses. This learning process requires active participation in all laboratory sessions. During
the first year in the laboratory setting, a variety of people representing both genders and
individuals with different body types to simulate the diversity of patients expected in the
practice setting will be examined. Being examined by other students helps the student
appreciate how the examination feels from the patient’s perspective, and enables students to
provide feedback to their laboratory partners, thus enhancing their skills. Reading and
observation, although helpful, do not develop the skill required to perform the basic physical
examination. Each student is required to actively participate in all skills and development
laboratory sessions.
 TOURO UNIVERSITY ___ _______
Office of the Bursar 874 American Pacific Dr
Henderson, NV 89014
Tel (702) 777-1753
Fax (702)777-1754

CREDIT CARD AUTHORIZATION

Student Name: _______________________________________

Address: _______________________________________

Telephone Number: _______________________________________

Social Security Number: __________________________________

Credit Card Number: ______________________________________

Type of Card: VISA MASTERCARD

Expiration Date: ________________________________

V Code (Last 3 digits on the signature line): _____________

Amount: ________________________________

Name on Credit Card: ________________________________

Signature: ________________________________

Date: ________________________________

I, _______________________________________ authorize Touro University Nevada to

charge my credit card as stipulated above.