Learn More About Physical Therapist Assistant TechnologyThank you for your interest in the Associate of Applied Science degree in Physical Therapist Assistant Technology at Kent State Ashtabula. Fill out and submit the form below to learn more.Personal InformationFirst Name/Given NameDo you prefer to be called by a different name other than your legal first name? Click here for information on how we use chosen name.How we use Chosen Name at Kent State UniversityChosen Name InformationIf you provide another first name, we will use it in future enrollment communications. Keep in mind that these communications could include messages to your parents, counselor, teachers or recommenders. For more information, please visit the Registrar's website.CloseYesNoPreferred/Chosen NameLast Name/Family NameBirthdateBirthdateJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember1234567891011121314151617181920212223242526272829303120242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Email AddressEnrollment InformationI plan to enter Kent State as:TransferPost-Undergraduate Degree-SeekingDomestic Student Defaulted to YesYesNoInquiry Admitting Unit Defaulted to AshtabulaAshtabulaOnline Program of Interest Defaulted to Physical Therapist AssistantPhysical Therapist AssistantSubmit
