Davenport's Master's in Occupational Therapy Supplement

Student information

Nombre

Phone

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Are you a Current Davenport Student?

Yes

Davenport Student ID, if known

Student background

Employment history

Employer	Start date	End date	Title	Roles/Responsibilities
Employer	Start date	End date	Title	Roles/Responsibilities2
Employer	Start date	End date	Title	Roles/Responsibilities 3
Employer	State date3	End date3	Title	Roles/Responsibilities 4
Employer	Start date 4	End date 4	Title	Roles/Responsibilities 5
Employer	Start date 5	end date 5	Title	Roles/Responsibilities 6

Volunteer experience

Name of organization	Dates of participation	Description of involvement
Name of organization	Dates of participation	Description of involvement
Name of organization	Dates of participation	Description of involvement
Name of organization	Dates of participation	Description of involvement
Name of organization	Dates of participation	Description of involvement
Name of organization	Dates of participation	Description of involvement

Observation hours

Name of organization	Total number of hours planned	Total numbers of hours completed	Start date	End date
Name of facility	Total number of hours planned	Total number of hours completed	Start date	End date
Name of facility	Total number of hours planned	Total number of hours completed	Start date	End date
Name of facility	Total number of hours planned	Total number of hours completed	Start date	End date
Name of facility	Total number of hours planned	Total number of hours completed	Start date	End date
Name of facility	Total number of hours planned	Total number of hours completed	Start date	End date

Licenses and Certificates

Certification organization	Certification type	Certification number	Certification date issued	Certification date expires
Certification organization	Certification type	Certification number	Certification date issued	Certification date expires
Certification organization	Certification type	Certification number	Certification date issued	Certification date expires
Certification organization	Certification type	Certification number3	Certification date issued	Certification date expires
Certification organization	Certification type	Certification number	Certification date issued	Certification date expires
Certification organization	Certification type	Certification number5	Certification date issued	Certification date expires

Personal statement

Attach a personal statement (essay) describing your knowledge of the Occupational Therapy field and why you’ve chosen Occupational Therapy as a career.

One file only.
8 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

Three Professional Recommendations

The recommendation must be completed by a work supervisor or professor. Family members are excluded from recommending applicants. Please be sure the email address is accurate before submitting.

Upon submission of this online application, this contact will receive a webform to fill out on your behalf.

First & Last Name (Reference #1)

Email Address (Reference #1)

First & Last Name (Reference #2)

Email Address (Reference #2)

First & Last Name (Reference #3)

Email Address (Reference #3)

Additional questions

Please answer the below questions.

Have you previously enrolled in an Occupational Therapy degree program?

Yes

If yes, specify the college or school of Occupational Therapy

Are you eligible to return to the Occupational Therapy degree program?

COVID-19 Impact

If you feel as though your pathway to an occupational therapy program has been educationally, personally or professionally impacted by the global COVID-19 pandemic, please describe the impact you experienced. Potential impacts may include:

Educational: Interruption of coursework, support from faculty/staff, courses converted to pass/fail, GRE testing cancellation, etc.
Personal: Interruption to living situation, financial hardship, family, etc.
Professional: Interruption to shadowing/volunteering experiences, employment, certification, etc.

Please answer 'no impact' if you don't feel your pathway has been impacted by COVID-19

Criminal Background

As part of the student process, Davenport University will conduct a criminal background check. Is there anything in your background that may prohibit you from completing your education and/or obtaining a license in your state of residence?

If yes, please explain:

Prerequisite Course Guidelines

Before the start of the program, Davenport's Master’s in Occupational Therapy program requires completion of 10 prerequisite courses with a grade of ‘C’ (2.0) or better. Prerequisites will be officially evaluated after applications are reviewed by the Occupational Therapy Admissions Committee. At that time, course descriptions, copy of the syllabus and/or original transcripts may be requested. Please review the list of prerequisites here.

CAPTCHA

Esta pregunta es para comprobar si usted es un visitante humano y prevenir envíos de spam automatizado.