KEAN UNIVERSITY DUAL DEGREE PROGRAM APPLICATION FOR OCCUPATIONAL THERAPY FOR ADMISSION SEPTEMBER 2016

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1 KEAN UNIVERSITY DUAL DEGREE PROGRAM APPLICATION FOR OCCUPATIONAL THERAPY FOR ADMISSION SEPTEMBER 2016 In order to be considered for admission into the dual degree program, you must meet the requirements of an undergraduate major at Kean University. To qualify for a baccalaureate degree at Kean University, you must be fully matriculated in a major program and complete that program as described, and must earn a minimum of 124 semester hours of credit, (which will include credits earned in the first year of the occupational therapy program). You must complete all courses required by the university and your undergraduate major, the prerequisite courses, and have earned at least 88 credits towards your undergraduate degree prior to beginning the Occupational Therapy program. Please note there are NO EXCEPTIONS. NOTE: Transcripts of all colleges attended, including Kean University, are to be sent to the Occupational Therapy Department, East Campus 224, Union, New Jersey No application will be given final consideration until letters of recommendation and transcripts of college credits have been received. Please do not staple any attachments to this application. Attach any loose documents with a paper clip. 1. Personal Information Kean University Student No. Name Home Address Street and Number City, State, Zip Code Mailing Address: Street and Number City, State, Zip Code Telephone ( ) _ 2. Academic Information. Supply full information regarding your education, including Kean University. Attach transcripts or have transcripts sent to the occupational therapy department. Be sure to complete and include the prerequisite form as part of your application packet DATES DEGREE/ NAME OF INSTITUTION LOCATION ATTENDED DIPLOMA DATE University(s) 1

2 3. Achievements and Extracurricular Activities List your most significant school and community activities. (Include honors and offices held). 4. Work Experience. State your work experience, including volunteer work. Do not include your documented observation hours in this section. 5. Documented observation hours List your observation sites and the number of hours you have completed at each site. Please attach all documentation of observed hours. ********************************************************************************************** 6. Documentation of completion of university and undergraduate major requirements: Please have Form A (included in this application packet) completed by your advisor in the department of your undergraduate major, or by the chairperson of that department. Also attach a completed guide sheet for your major. 2

3 7. References: List the names and contact information of three persons you have asked to support your application with letters of recommendation. Please note that one reference must be from an occupational therapist. Provide each person you have asked to be a reference with Form B (included in this application). Your references should be able to discuss your professional behaviors or as a student. (No family or friends please.) ********************************************************************************************** 8. Matriculation Status: Have you been admitted as a matriculated student? Yes No If not, have you applied to the admissions office of Kean University, (separate from this application to the Occupational Therapy Department?) Date of Application 9. Personal Narrative: Address each of the following statements in an essay format. Essay to be typed on white paper in size 12 font. No fancy script, please. Organize and number your essays to correspond with the numbered statements below. 1. Describe the process by which you decided occupational therapy is the right career choice for you. 2. Describe an incident or event which has had a significant impact on your life. 10. Verification of Information: I certify that the information provided in this application is complete and accurate. Signature of applicant: Print name: Date: 11. Application Deadline is Friday, January 15, In order for our department to handle the volume of applications, it is helpful to know the number of students seeking admission to the program. Please send a simple one sentence to indicating your intent to apply to the program once you are in the process of completing this application. Please be sure to include your full name. Thank you. *********************************************************************************************** The Department of Occupational Therapy maintains a non-discriminatory policy with respect to age, sex, marital status, race, creed, national origin, or disability. 3

4 KEAN UNIVERSITY DEPARTMENT OF OCCUPATIONAL THERAPY UNION, NEW JERSEY Confirmation of Completion of University Requirements (Form A) Date: is applying to the dual degree program in occupational therapy at Kean University to begin in September To be considered eligible for entry into the program: a. The student must have earned a minimum of 32 degree credits, (including one-half of the major requirements) at Kean. b. The student must have completed all of the required general education courses and all courses required of the student s major prior to beginning the program. c. The only undergraduate requirements not yet completed are the elective courses. The elective course requirements would be fulfilled by occupational therapy courses taken during the student s senior year if accepted into the program. This is to confirm that has completed all of the requirements of the university and of his/her undergraduate major as identified above Print Advisor or Department Chair Name Advisor or Department Chair signature Date Print Applicant Name Applicant Signature 4

5 Kean University Department of Occupational Therapy East Campus 224 Union, NJ Form B Dear, _ has applied for admission to the Dual Degree Program in Occupational Therapy Program at Kean University, and has given your name as a reference. You can utilize the space below to write your recommendation or attach a separate sheet. Please return this page with your letter. Please address the following areas regarding this candidate: ability to relate to people, initiative, organizational skills, and oral and written communication skills. Please add any information you feel will be helpful in considering this applicant for admission. The deadline for receipt of this letter is January 15, Please attach your letter of recommendation to this page and send to: Kean University, Department of Occupational Therapy, East Campus 224, Union, New Jersey Signature Date Position Reference Waiver for Applicant To the Applicant: A candidate for admission to the Dual Degree Occupational Therapy Program may waive his/her right to inspect the reference letters requested. Such reference letters will only be used for the purpose of application to the Occupational Therapy Program. A candidate is not required to waive the right to inspect reference letters as a condition for admission. I (print name) do / do not (circle one) waive my right to inspect or review this reference letter for admission to the Occupational Therapy Program. _ Signature Date 5

6 Applicant Name: Date: KEAN UNIVERSITY DEPARTMENT OF OCCUPATIONAL THERAPY UNION, NEW JERSEY Checklist for Submitting Application Be sure that the following documents are included when you submit your application for consideration to the occupational therapy program. Please note that page and section numbers listed are referring to sections within the application packet. NOTE: PLEASE DO NOT SEND YOUR APPLICATION VIA Application (This includes pgs 1, 2, and 3) 2. Transcripts: ( See section 2 of application). 3. Documentation of observation hours. ( See section 5 of application ). 4. Documentation of completion of university and undergraduate major requirements. ( See section 6 of application. Required confirmation form is part of application packet). 5. Recommendation Letters ( See section 7 of application. 3 letters are required. Required form is part of application packet). 6. Personal Narrative ( See section 9 of application ). 7. Completed guide sheet (You can obtain a guide sheet from the department of your undergraduate major. Not included in packet). 8. Prerequisite Completion Form (Required form is part of application packet). 9. sent to stating intent to apply. ( See section 11 of application). 6

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