Master of Occupational Therapy
Shadowing Form

 

Please fill in the form below. All fields marked with (*) are required.

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Applicants must have 2 sites serving 2 different populations and a total of at LEAST 20 hours to be considered for admission.

  Name of Site Population Served Number of Observation Hours Completed
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It is suggested to have at least 2 of the 5 prerequisites completed before applying to the program. 3 prerequisites are required for early decision.

  Prerequisite Course Number
ex. BIO 261		 Completion Date/
Planned Completion Date
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