The UW-La Crosse - Gundersen - Mayo PA Program requires excellent verbal and written English communication skills in order for you to safely deliver patient care.  If English is not your first language, you are required to take the internet-based Test of English as a Foreign Language (TOEFL-iBT®) examination.  Valid exam results must be within the past two years.  To be considered for admission to our program, you must have a minimum TOEFL-iBT of 100. Additionally, you must achieve the following minimum scores in each of the TOEFL iBT ® categories:

  • 22 - Reading
  • 22 - Listening
  • 26 - Speaking
  • 24 - Writing

Official Scores must be forwarded to the program using Institutional Code 1914 and Department Code 42.  In addition, please include an unofficial copy of the TOEFL score report with the Supplemental Application.  Additional information about the exam is available at the following: TOEFL

Upon admission, if English is not your first language and the faculty has concerns regarding your ability to communicate in English, you will be required to complete an English language assessment by the English as a Second Language (ESL) department at UW-La Crosse.  This may be required even if you score very well on the TOEFL-iBT.   If the assessment reveals that further instruction in English is necessary for you to exhibit excellent communication skills, you will be required to take ESL courses at UW-La Crosse.  Following completion of these courses, your English communication skills must be reassessed and improvement must be demonstrated.  Failure to demonstrate improvement may necessitate further ESL course work.   You will be responsible for the cost of any necessary ESL courses.  The need for ESL courses could delay your graduation.