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If you are unable to complete this form online, you may download this supplemental application as a pdf file, fill it out, and email it to or send it to:

  • Marietta College PA Program
  • 215 Fifth Street
  • Marietta, OH 45750

Marietta College Physician Assistant Program Supplemental Application

Application Deadline: November 1st

Please fill out the following form:

Contact Information
Residency Information

List each community in which you have lived since your birth in chronological order. Also list the current population of that community, your primary occupation while living there, and the dates of your residence. If you were a student, please list "education" as your primary occupation and identify the school or institution attended. Please include all dates.


Applicants are required to submit GRE or MCAT scores with their application. You should request that the testing agency send an official report of your scores to the Marietta College PA Program.

Personal Narratives

Please respond to the following questions limiting your response to 800 words or less for each.

I have reviewed the Marietta College Physician Assistant Program's website and have read and understand the Program's Technical Standards and requirements.