Chatham University

Master of Occupational Therapy
Shadowing Form

 

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

*
*
*

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 Number
ex. BIO 261
Completion Date/
Planned Completion Date
1.
2.
3.
4.
5.