Towson University • CCBC Essex


This checklist is to assure that all necessary information is obtained prior to your interview. Once your information is received, you will be contacted regarding an interview date and time. After completing the form below, please click the "submit" button.

You will not be offered an interview until you have been cleared for admission by the Towson University Graduate School.

Physician Assistant Program Intention Form
(First, Middle Initial, Last)

1. The CCBC Application
I submitted and paid the $45 application fee for the Towson University Graduate School application.




2. The CCBC SHP Application
I submitted and paid the $50 application fee for the CCBC School of Health Professions Physician Assistant application.




3. The TU Grad School Application
I submitted and paid the $45 application fee for the Towson University Graduate School application.




Additional Information
I realize that I am required to bring a passport size photograph to the interview.




I realize that if I am admitted into the PA program, I must pay a non-refundable deposit of $900.00 to Towson University and a deposit of $1850.00 to CCBC.
DO NOT bring payment to the interview







Please call me to schedule the interview as I have completed steps 1 through 3 and I am excited to get started!