Supplemental Application Form Occupational Therapy Assistant Program Manhattan Campus

Transcription

1 TOURO COLLEGE SCHOOL OF HEALTH SCIENCES Supplemental Application Form Occupational Therapy Assistant Program Manhattan Campus Last Name First Name: Middle Name: Application Instructions: Please complete and sign the following supplemental application for the Occupational Therapy Assistant program. Included in this supplemental application packet are descriptions of the required application materials and the required Occupational Therapy Assistant recommendation form. Application Deadlines: Early decision deadline: December 1 Regular deadline: May 1 Applicants should compile the application, supplemental application, application fee, and supporting documentation under one cover and submit these items to the Office of Admissions. Applications are reviewed by the Office of Admissions to determine if the applicant has submitted all required documentation. Applications that are complete with all accompanying documentation are evaluated by the Occupational Therapy Assistant admissions committee. Please submit all required documentation and correspondence to the Office of Admissions: Mail: Touro College 1700 Union Boulevard Bay Shore, NY Attn: Office of Admissions Phone: 866-TOURO4U enrollhealth@touro.edu Application Fee: The Occupational Therapy Assistant program requires a $50.00 application fee. This application fee may be submitted via a check or money order made payable to Touro College Personal Statement: The personal statement should be a typed, clear and concise, 500 word essay on your motivation to become an Occupational Therapy Assistant. Appropriate content may include: your personal and academic background, your career goals, experiences that nurtured your interest in the health field and in the OT profession specifically, the impact of your required observation hours, and any other factors you feel are relevant to admission. Volunteer hours: Applicants to the Occupational Therapy Assistant program are required to perform 35 hours of volunteer service in an Occupational Therapy setting. Applicants often receive an OT/OTA recommendation from the OT/OTA they completed their volunteer hours with. If your recommendation comes from an OT/OTA that you completed your volunteer hours with, please use the provided recommendation form to document the number of volunteer hours you have completed. Applicants who completed hours with someone who is not submitting a recommendation form for them should request that the OT/OTA supervisor complete and sign documentation on their letterhead stating the number of hours completed, the type of setting, and your specific duties during this volunteer experience. 1

2 Letters of Recommendation: List the names of the two people who will be submitting letters of recommendation on your behalf using the recommendation form provided in this supplemental application packet. Applicants must submit at least one recommendation from an Occupational Therapist or Occupational Therapy Assistant. The other recommendation should include someone who can evaluate your personal background and/or academic experience and/or your knowledge of and potential for the Occupational Therapy Assistant profession. Recommendations should not include personal friends or family. Name: Name: Official High School Transcript or GED Certificate: Touro College requires that all applicants who have graduated from high school in the United States or have received a GED certificate must submit an official high school transcript or GED score report. Official transcripts of all college-level coursework: If you have completed coursework in college, Touro College requires that you submit an official transcript for evaluation to the Office of Admissions. Your transcripts will be evaluated during the admissions process and transfer credit may be awarded for courses deemed equivalent to the liberal arts requirements of the OTA program. Foreign credentials must be evaluated by a School of Health Sciences-approved agency. A list of approved agencies can be found by visiting Placement examinations: For applicants who have not already taken college-level English or Mathematics, placement exams in English and Mathematics are required. For international students, additional testing may also be required. If testing is required, the Office of Admissions will notify you of the appropriate tests that must be taken in order to continue the application process. Standardized tests: Applicants are encouraged, but not required to, submit Scholastic Aptitude Test (SAT) or American College Testing (ACT) scores with the application for admission. Touro College s SAT score report number is 5577; for the ACT, it is Please complete the following table if you believe you have transfer credit toward the OTA program Liberal Arts Curriculum College Semester/ Year Course Name Course # Grade College Writing 1 College Writing 2 General Survey Psychology Lifespan Developmental Psychology Abnormal Psychology Human Anatomy and Physiology 1 Human Anatomy and Physiology 2 College Mathematics 2

3 Applicant Checklist: Application; completed and signed $50.00 Application Fee Personal Statement OT/OTA Letter of Recommendation Form Additional Letter of Recommendation Form Documentation of a minimum of 35 hours of volunteer service with an OT/OTA Official High School Transcript or GED certificate Official College Transcript(s) Supplemental Application; completed and signed Signature: I certify that the information supplied in this application is true and complete to the best of my knowledge. Applicant s signature Date 3

4 TOURO COLLEGE SCHOOL OF HEALTH SCIENCES Applicant Recommendation Form Occupational Therapy Assistant Program TO THE APPLICANT: Complete this section and send the form to your recommender with a self-addressed and stamped envelope. Name First Middle Last (Family) Under the Family Educational Rights and Privacy Act of 1974, you have the right to review your official College student records. If you wish to waive that right in the case of this recommendation please sign here. Your waiver will in no way affect the decision on your application. Signature Date TO THE RECOMMENDER: The above named individual is applying to the Occupational Therapy Assistant Program at Touro College, and has given us your name as a reference. Please complete this recommendation form and return in the envelope provided. 1. Select only one: I am/have been an OT supervisor. Volunteer hours supervised (as of today): I am/have been an employer/supervisor. I am/have been a peer/coworker of this applicant I am/have been an instructor of this applicant. I know/have known this applicant. Specify in what capacity you have known this applicant: 2. Indicate the setting in which you have observed the applicant: 3. Would you hire/rehire/work with this applicant? YES NO If no, please explain: 4. The attributes listed below are important for an Occupational Therapy Assistant student. Compare this applicant with others who work in the same capacity, and have the same experience level (volunteers/employees). Rate each attribute on a scale of 1 to 5 with 1 being the lowest and 5 being the highest. If the attribute cannot be evaluated or does not apply, circle N/A. Attribute Score Remarks Adaptability/Resourcefulness N/A Honesty/Integrity N/A Initiative N/A

5 Interaction with coworkers N/A Leadership ability/potential N/A Manner in Accepting Criticism N/A Professional Appearance N/A Professional Demeanor N/A Reliability N/A Stability Under Pressure N/A Stamina (Mental and Physical) N/A Tact N/A Communication Skills N/A Maturity N/A Assumes Responsibility N/A Judgment N/A 5. Additional Comments/Remarks: Name (Print): Signature: Position/Title: Date: Business Address: Telephone Number: Touro College Occupational Therapy Assistant Admissions Committee appreciates your time and effort in providing an honest appraisal of this individual.