How to Prepare Yourself in Undergrad for a Stress-Free PA School Application Process - Guest Post by Kay Horan

How to Prepare for PA School in Undergrad (6-Part Checklist)

Guest Post by Kay Horan (panamedkay.com) · intro by Savanna Perry, PA-C

TL;DR

The secret to a stress-free PA school application is starting in undergrad. Protect your GPA from semester one, map out prerequisites with your advisor early, build up PCE during breaks, get to know professors for letters of recommendation, take the GRE 3-6 months out, start brainstorming your essay a year ahead, and track every hour in a spreadsheet from day one.

Last Updated: June 12, 2026

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Why Do GPA and Prerequisites Come First?

GPA is the first thing programs look at, and if you miss a minimum, your application gets set aside before anyone even reads it. Make grades a priority from freshman year, especially in your science classes, because trying to dig out of a GPA hole senior year is so much harder.

For prerequisites, meet with your advisor freshman or sophomore year and map every required course into your schedule. Build your course list from the programs you're interested in (a program directory or the Applicant's Manual makes this fast) so a surprise requirement doesn't sneak up on you. The most common prereqs are Anatomy & Physiology I-II with labs, Chemistry I-II with labs, Organic Chemistry I with lab, Statistics, Microbiology with lab, Psychology, and Medical Terminology.

In this post:

How Do You Build PCE Hours as a Full-Time Student?

Programs commonly want 500-2,000+ hours of hands-on patient care, and having more makes you more competitive. That can sound impossible on top of classes, but it's very doable if you break it into chunks.

Work during college breaks (summers especially), pick up part-time shifts during lighter semesters, and choose a role that actually counts as PCE: medical assistant, CNA, physical therapy aide, ED tech, EMT. Getting a certification early helps a lot too. Some students have their CNA or EMT done by sophomore year, and that opens up better jobs for every break after that.

In Our Experience

This guide comes from Kay Horan (panamedkay.com), who wrote it as a guest post after living it herself: hours tracked in a spreadsheet from freshman year, office hours at every Organic Chemistry session before asking for her letter, and a 'brain dump' phone note feeding her personal statement. Everything was pre-loaded when the cycle opened, she submitted early, and by her own description the application process was stress-free.

How Do You Set Up Strong Letters of Recommendation?

Good letters start years before you ever ask for them. In your core science courses, make sure your professors actually know who you are. Going to office hours is the easiest way to do this, especially at big universities where you might otherwise just be a face in a 300-seat lecture.

When the time comes, ask EARLY (months before the deadline), give them your resume and your program list with due dates, and set their deadline a few weeks before the real one. And don't feel bad about sending a friendly reminder email a week out. It's expected, not rude!


Every Pre-PA Should Know...

Give your letter writers a deadline a few weeks BEFORE the real one. Professors run late, and that buffer will save you.


When Should You Handle the GRE and Personal Statement?

For the GRE, take it 3-6 months before applying, even if not every school on your list requires it. Keeping your options open is better than limiting your list. There are plenty of prep books out there, but the most helpful thing you can do is take full practice tests.

For your personal statement, start a "brain dump" note a year out with random ideas, patient moments, and story fragments so you're never staring at a blank page. Use your university's writing center (more than once!), expect to go through several versions, and don't try to rush it in the same month you're dealing with CASPA data entry.

What's the Spreadsheet System That Makes CASPA Easy?

From freshman year, track every experience in one spreadsheet (shadowing, PCE, volunteering, research) with columns for supervisor name and contact info, location and specialty, your title and responsibilities, hours completed, and dates.

Add a notes column where you write a little about each experience: what you saw, what you learned, a story that stuck with you. That notes column ends up being your personal statement material AND your interview prep, because it holds years of detail you'd otherwise forget. Then create your CASPA account early so you can learn the interface and enter data gradually. When the cycle opens, you can submit in days instead of weeks, and with rolling admissions, submitting early really does make a difference.

Need to Know:

  • Protect your GPA from semester one because it's the first screen programs apply.

  • Map all prerequisites with your advisor by sophomore year.

  • Build PCE in chunks: breaks, summers, and part-time shifts, and get certified early.

  • Get to know professors through office hours years before asking for letters.

  • Track every hour plus a notes debrief in one spreadsheet from day one.


FAQ

When should I start preparing for PA school?

Freshman year of college isn't too early! GPA, prerequisites, and PCE hours all build over time. Even if you're starting junior year, the same checklist applies, just on a faster clock.

What are the most common PA school prerequisites?

Anatomy & Physiology I-II with labs, Chemistry I-II with labs, Organic Chemistry I with lab, Statistics, Microbiology with lab, Psychology, and Medical Terminology, but always verify each program's list.

How many PCE hours do PA schools require?

Commonly 500-2,000+ depending on the program, and having more than the minimum makes you more competitive.

How far in advance should I ask for letters of recommendation?

At least a couple of months before your deadline, along with your resume, your program list, and a buffer deadline a few weeks early.

Should I make a CASPA account before applying?

Yes! Getting familiar with the interface early and entering data gradually makes submission week so much easier.

CLOSING

Don't think of the years before applying as waiting, think of them as preparing. Every semester of undergrad can quietly move one of these six elements forward, and the applicant who starts early gets to submit early, relaxed, and competitive. Grab our Free Application Timeline to map out your own version of this plan!

You May Also Like:

  • P6 Pre-PA Roadmap pillar

  • Prepping for PA School Applications as a Freshman

  • How to Get Shadowing Hours

  • Top 5 CASPA Tips

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