Name: __________________________
Date of Birth: __________________
CASPA ID # __________________________
Waiver for Prerequisite Courses Greater than 10 Years
(Applicants who have taken required prerequisite courses greater than 10 years ago must either retake the prerequisite course(s) prior to starting the PA Program
or request a waiver. Waivers are to be emailed to [email protected].)
Course Name
Course #
Institution
Semester
Taken
Final
Grade
Specific Rationale for Requesting Exception/Why has
current coursework or experience kept you up-to-date?
Additional advanced coursework in same topic area
Relevant clinical or work experience in this area
Explain: ____________________________________
___________________________________________
___________________________________________
Additional advanced coursework in same topic area
Relevant clinical or work experience in this area
Explain: ____________________________________
___________________________________________
___________________________________________
Additional advanced coursework in same topic area
Relevant clinical or work experience in this area
Explain: ____________________________________
___________________________________________
___________________________________________
Additional advanced coursework in same topic area
Relevant clinical or work experience in this area
Explain: ____________________________________
___________________________________________
___________________________________________