Respiratory Therapy Application 2018
The application deadline for PRIORITY PROCESSING is FEBRUARY 15th, 2018. In order to be considered for acceptance with the first group of applicants, the application and job shadow assignment or alternate assignment must be received on or prior to February 15th, 2018.

After the priority processing deadline, acceptance to the program is contingent on space availability. Prior to applying, all prerequisites must be complete or in progress with anticipated completion dates before the beginning of fall semester. Acceptance to the program will be conditional upon successful completion of prerequisites. Acceptance to Idaho State University does not guarantee acceptance into the Respiratory Therapy Program.

Personal Information
Student ID *
Your answer
First and Last Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Cell Phone Number *
Your answer
Home Telephone Number *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
ISU E-mail Address *
If you do not currently have an ISU e-mail, please put in your personal e-mail. You will be receiving a confirmation e-mail at the address you enter here.
Your answer
Non ISU E-mail (Optional)
Your answer
Education Background
Have you been accepted to ISU? *
Did you declare Respiratory Therapy as your primary major on the ISU Admission Application? *
Are you currently enrolled at another college/university? *
If you are currently enrolled at another institution, list the name of that university/college.
Your answer
Have you completed any prerequisite courses that are not on your ISU transcript? *
If you have completed prerequesite courses that are not on your ISU transcript, list the name of the college/university.
Your answer
Have you completed the job shadow or the alternate job shadow REQUIREMENT? *
Grades or Semester in Progress
All prerequisites must be completed or in progress with anticipated completion dates before the beginning of the Fall 2018 semester. Acceptance to the program will be conditional upon successful completion of prerequisites.
Biology 2221/L Grade or semester in progress *
Your answer
Biology 3301/L or 3302/L Grade or semester in progress *
If you have not completed both, you will be required to complete the other one while in the program.
Your answer
Chemistry 1101 or 1111/L Grade or semester in progress *
Your answer
Communication 1101 Grade or semester in progress *
Your answer
English 1101 Grade or semester in progress *
Your answer
Medical Terminology HO 1106 or HE 2210 or HCA 2210 Grade or semester in progress *
Your answer
PSYC 1101, SOC 1101 or SOC 1102 Grade or semester in progress *
Your answer
Agreement and Signature
By checking the "submit" box below I affirm that the facts set forth above are true and complete. I understand that if I am accepted to the Respiratory Therapy Program, any false statements, omisssions, or other misprepresentations made by me on this form may result in my immediate dismissal. *
Required
Notification
Respiratory Therapy candidates will be notified by e-mail and mail regarding acceptance. Students not accepted to the program must re-apply.

Upon acceptance, a background check and immunization record will be required. If accepted, you will receive more information on this in your acceptance letter.

Please review application in its entirety prior to submitting. Responses cannot be changed after submission.

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