LT Course Application

 handouts

*All applicants must be licensed Physical Therapists

To be enrolled, please email, fax, or mail the following:

  • Copy of your PT license 
  • Name, home address, personal phone number and email address
  • Current business address, phone number and email address
  • Formal education and degrees earned, beginning with high school. Please include name and location of schools and dates attended
  • Post graduation courses
  • Employment history and your immediate supervisors
  • Provide three professional references and their contact information
  • List three outside-of-physical therapy interests

 

Once the application has been approved, you will be notified along with instructions for payment.

If you have any questions please contact Kocus Mueller at Folsom Physical Therapy