|
Financial Fact Sheet |
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Introduction: The American Board of Physical Therapy Residency and Fellowship
Education (ABPTRFE) has created this Financial Fact Sheet to provide financial
transparency to applicants on the true costs to undergo residency and
fellowship education.
Instructions: The program will
complete Part 1 of this form and publish it on the program’s website. The applicant
will complete Part 2 of this form.
Program Information
Name of Program:
Physical
Address:
Program Hours
Educational Hours:
Patient-Care Clinic / Practice Hours (inclusive of mentoring):
Mentoring Hours:
Program Travel
Please indicate if participants are required to travel greater than 50
miles for any aspect of patient-care clinic/practice hours (does not include daily
commute):
Please indicate if
participants are required to travel greater than 50 miles for any aspect of
educational hours:
The program will provide all costs associated with this program.
|
Type of Cost |
Year One |
Year Two |
Year Three |
Total |
|
Fees Enter the amount of fees associated with the program (if applicable). Fees
are any amount $1,000 or less. If more than $1,000, please enter that amount under
tuition. |
$ |
$ |
$ |
$ |
|
Tuition (if applicable) |
$ |
$ |
$ |
$ |
|
Curriculum Costs (not included in tuition above) |
$ |
$ |
$ |
$ |
|
Required textbooks, software,
apps (not included in program fees) |
$ |
$ |
$ |
$ |
|
Application Fees (program assessed above and beyond RF-PTCAS) |
$ |
$ |
$ |
$ |
|
Conference Registration Fees (not
included in fees above) |
$ |
$ |
$ |
$ |
|
Travel Costs (for program education requirements and conference
attendance, if applicable) |
$ |
$ |
$ |
$ |
|
Parking/Mass-Transit Fees |
$ |
$ |
$ |
$ |
|
Mentoring Fees |
$ |
$ |
$ |
$ |
|
Malpractice Insurance |
$ |
$ |
$ |
$ |
|
Other program costs not included above: |
$ |
$ |
$ |
$ |
|
Total Program Costs |
$ |
$ |
$ |
$ |
The program will provide any financial assistance provided to participants.
|
Type of Financial Assistance |
Year One |
Year Two |
Year Three |
Total |
|
Salary Paid by Program |
$ |
$ |
$ |
$ |
|
Student Financial Aid (for
tuition fee programs only) |
$ |
$ |
$ |
$ |
|
Graduate Assistantship(s) |
$ |
$ |
$ |
$ |
|
Other Assistantship(s) |
$ |
$ |
$ |
$ |
|
Scholarships |
$ |
$ |
$ |
$ |
|
Travel Costs/Stipends |
$ |
$ |
$ |
$ |
|
Student Financial Aid (for tuition fee programs only) |
$ |
$ |
$ |
$ |
|
ABPTS Board-Certification
Examination Fees |
$ |
$ |
$ |
$ |
|
Other financial assistance not included above: |
$ |
$ |
$ |
$ |
|
Total Financial Assistance |
$ |
$ |
$ |
$ |
Program Structure
Program
Type:
Program
Format:
Program Length:
2nd
Program Format:
2nd Program Length:
Number of
Participant Positions Each Calendar Year:
Program Applicant Information
Application
Deadline Date:
Program
Start Date:
2nd
Application Deadline Date (if applicable):
Program 2nd Start Date:
3rd
Application Deadline Date (if applicable):
Program 3rd Start Date:
4th
Application Deadline Date (if applicable):
Program 4th Start
Date:
Format for
Educational Hours:
Affiliated Practice
Site Locations:
Mentor
Appointment to Faculty:
Mentor
Accessibility:
The applicant will consider the following related to their finances.
|
Participant Financial Consideration |
Year One |
Year Two |
Year Three |
Total |
|
Salary Earned (input your salary, not paid by the program, if you
plan to continue your employment while undergoing the program) |
$ |
$ |
$ |
$ |
|
License Fees |
$ |
$ |
$ |
$ |
|
Malpractice Insurance (not covered by program) |
$ |
$ |
$ |
$ |
|
Cost of Living Expenses (Forbes Cost of Living Calculator) |
$ |
$ |
$ |
$ |
|
Student Loan Payments (if unable to defer during program) |
$ |
$ |
$ |
$ |
|
Subtotal |
$ |
$ |
$ |
$ |
|
Loan Forgiveness (if eligible) |
$ |
$ |
$ |
$ |
|
Total Participant Financial
Considerations |
$ |
$ |
$ |
$ |
The applicant will utilize the total program costs, total program financial assistance, and total participant financial consideration, along with their current debt to calculate the cost-benefit ration of completing this program.
|
Debt |
Total |
|
Debt at time of admission to program (current student loan debt) |
$ |
|
Total program costs (enter
amount from total costs for entire length of program located above) |
$ |
|
Total participant financial considerations (enter amount from total
financial considerations for entire length of program located above) |
$ |
|
Subtotal |
$ |
|
Total program financial assistance (enter amount from total program
financial assistance for entire length of program located above) |
$ |
|
Total Debt After Completion of
Program |
$ |
Last Updated: 10/30/2023
Contact: [email protected]