Master of Occupational Therapy Shadowing Form Please fill in the form below. All fields marked with (*) are required. * First Name: * Last Name: * Email Address: 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 1. 2. 3. 4. 5. 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 Numberex. BIO 261 Completion Date/Planned Completion Date 1. 2. 3. 4. 5.