Department of Occupational Therapy. Fall term 2016 Application and Instruction Packet

UNIVERSITY OF SOUTH ALABAMA Department of Occupational Therapy Master of Science in Occupational Therapy Fall term 2016 Application and Instruction Packet Applications for fall term 2016 will be available by July 2015. Application deadlines are: October 1, 2015 (early acceptance Category I only) January 15, 2016 (regular admission Category I & II) University of South Alabama Department of Occupational Therapy Health Sciences Building, Room 2027 5721 USA Drive North Mobile, AL 36688-0002 Phone: 251-445-9222 FAX: 251-445-9211 Email: otdept@southalabama.edu http:/www.southalabama.edu/alliedhealth/ot

Two Categories of Students are Considered for Admission Regular Graduate Applicants (Category I): The student must hold a baccalaureate degree in any field from an accredited college or university before entering the program and have completed the occupational therapy prerequisites listed below. The Occupational Therapy program offers early acceptance to regular graduate applicants (Category I) with outstanding academic qualifications. Students who have completed at least 80% of the prerequisite courses (see below), have strong GPAs, have received their GRE scores, have completed the required observation hours and will receive their undergraduate degree by June of 2016 may choose to apply in September. Some of these applicants may be offered early acceptance in December. Applicants not accepted in December will be included in the regular January applicant pool. Advanced Undergraduate Applicants (Category II): The student must have an exceptional academic record and have completed a minimum of 90 semester credit hours of course work including the occupational therapy prerequisites listed below. Also, applicants in this category should carefully review additional information for Advanced Undergraduates that follows the minimum requirements for admission and prerequisite course list. (**This admission option will no longer be available after the January 2017 application deadline.) Minimum Requirements for Admission The candidate is expected to satisfy the following minimum requirements: Regular Graduate (Category I) applicants Baccalaureate degree from an accredited college or university Advanced Undergraduate (Category II) applicants A minimum of 90 semester credit hours including the OT prerequisites and University graduation requirements minimum 3.25 (A=4.0) overall cumulative GPA minimum 3.25 GPA OT prerequisite courses Minimum GRE scores of 290 on the combined verbal & quantitative sections, and 3.0 on the analytical section. Minimum grade of C in the OT prerequisite courses (see list below) Minimum of 25 Documented OT Observation hours (see required form) minimum 3.0 (A=4.0) overall cumulative GPA minimum 3.0 GPA OT prerequisite courses Minimum GRE scores of 290 on the combined verbal & quantitative sections, and 3.0 on the analytical section. Minimum grade of C in the OT prerequisite courses (see list below) Minimum of 25 Documented OT Observation hours (see required form) International students must meet the Category I minimum requirements for admission. International students must apply to the University Office of International Services with certified translations of transcripts at least 60 days prior to applying to the occupational therapy program. International applicants must have a TOEFL score = 600 (250 on computer based or 100 on Internet based tests), a TSE = 61 and a TWE = 5.5 or higher, and submit the TOEFL score, official transcripts with certified translations of transcripts, an OT application and application processing fee. International students are not eligible for admission as Advanced Undergraduates. PREREQUISITE COURSES Required for ALL Applicants General Studies Prerequisite Courses At least 80% of these general studies courses (5 of the 6 courses and a minimum of 15 semester credit hours) must be completed when you submit your application English Composition I 3 cr General Psychology - 3 cr Developmental Psychology - 3 cr (Life Span Development) Abnormal Psychology - 3 cr Cultural Anthropology or Diversity studies - 3 cr Elective - 3 cr. (choose: Public Speaking, Ethics, Logic, Small Group Discussion, Group Dynamics, Principles of Marketing) Math and Science Prerequisite Courses At least 80% of these science/math courses (5 out of the 6 courses and a minimum. of 15 semester credit hours) must be completed when you submit your application General Biology with lab for pre-health/science majors - 3 or 4 cr Precalculus Algebra - 3 cr (or higher level mathematics) **Statistics or Research Methods - 3 cr **Anatomy and Physiology I - 3 cr **Anatomy and Physiology II - 3 cr **Kinesiology - 3 cr (Biomechanics of Human Movement) ** These 4 Math/Science Prerequisite courses must be taken no more than ten years prior to submitting your application.

EXTRA CREDIT POINTS are also given if the applicant has taken any of these additional courses and achieved a grade of A or B (a maximum of 2 courses will be considered for extra credit). OT 201 Introduction to OT Anatomy or Physiology (300/3000 level or higher) (BMD 311, 334, 335) Exercise physiology (PE 476) Adult Development & Aging (300 level or higher)(psy 456) Gerontology (300 level or higher)(ls 397, 479; SY 372, 472) Public Speaking (CA 110) (dual credit is not given for the elective prerequisite course) APPLICATION PROCEDURES: Students who have met the prerequisite requirements and wish to apply to the Master of Science in Occupational Therapy program at the University of South Alabama should follow these steps: 1. All applicants must submit the following materials directly to: University of South Alabama, Department of Occupational Therapy, Room 2027, 5721 USA Drive North, Mobile, AL 36688-0002. ALL application materials must be received by the OT Department 5:00 p.m. on the deadline date. Completed USA OT Department application form (including OTCAS applicants) Non-refundable processing fee of $75.00 (checks payable to USA Dept. of OT) Official transcripts from each college attended (OTCAS applicants see information below) Graduate Record Examination scores (see below) Documentation of OT experience forms (25 hours required) (see below) The Department of Occupational Therapy will not process any application that is incomplete. 2. Applicants should take the Graduate Record Examination (GRE) at least 30 days prior to submitting an application. Official GRE scores (verbal, quantitative & writing scores) must be sent to the University of South Alabama Office of Admissions and be received by the application deadline. (use Institution Code: 1880). 3. Applicants who meet initial admission requirements may be invited for a personal interview. 4. International students must apply to the University s Office of International Services, with certified translations of transcripts at least 60 days prior to application to the Department of Occupational Therapy. 5. Acceptance into the OT program will be contingent upon acceptance into the University of South Alabama. 6. Acceptance into the OT program is provisional pending a clear background check, completion of any remaining OT prerequisite courses with a grade of C or better and submission of required medical forms. Failure to maintain a minimum overall cumulative GPA of 3.0 or make a grade of C or better in any prerequisite course will result in a nullification of acceptance into the OT program. 7. Accepted applicants must submit a $200 matriculation fee with their Statement of Intent to reserve a seat in the class. This fee is non-refundable and is applied to the student s first semester tuition. Students offered admission may elect not to pay the matriculation fee and be placed on the alternate list. NOTE: A minimum of 25 documented OT observation hours are required (see required form below). Applicants are encouraged to observe occupational therapy in a variety of settings under the supervision of a licensed occupational therapy professional. Many applicants acquire this experience by working or volunteering. Observation hours must be completed within two years of application to the program. OTCAS APPLICATIONS OTCAS applications are accepted, but are Not Required. OTCAS applications must be verified before the application deadline in order to be considered complete. If the OTCAS application has not been verified, official copies of all transcripts must be received by the OT Department by the application deadline. All OTCAS applicants must ALSO submit the USA OT Department application and processing fee, have GRE scores reported directly to the University (institution code 1880), and submit signed documentation of a minimum of 25 hours of OT observation (see required form).

CONSIDERATION FOR EARLY ACCEPTANCE The Occupational Therapy program offers early acceptance to regular graduate applicants (Category I) with outstanding academic qualifications. Students who have completed at least 80% of the prerequisite courses (see above lists), have strong GPAs, have received their GRE scores, have completed the required observation hours and will receive their undergraduate degree by June of 2016 may choose to apply in September. Some of these applicants may be offered early acceptance in December. Applicants not accepted in December will be included in the regular January applicant pool. APPLICATION DEADLINES AND INTERVIEW DATES: EARLY ADMISSION (Category I applicants only) Regular admission (Category I & II) Application deadline: October 1, 2015 - All complete applications received by mail, hand delivered or submitted and verified on OTCAS (https://portal.otcas.org/) by this date (application and fee must be sent to the USA MSOT Program) will be reviewed for POSSIBLE EARLY ADMISSION. Interview date: November 13, 2015 - Applicant interview day; only invited applicants whose applications were completed by the October 1 deadline. ** Applicants not selected for early admission will be considered for regular admission in January 2016. Application deadline: January 15, 2016 - All complete applications received by mail, hand delivered or submitted and verified on OTCAS (https://portal.otcas.org/) by this date (application and fee must be sent to the USA MSOT Program) will be reviewed. Interview date: February 26, 2016 - Applicant interview day; only invited applicants whose applications were completed by the January 15 deadline. The Master of Science degree program consists of the following courses (94 credits): OT 500 Occupation in Context - 3 OT 502 Occupational Development I - 3 OT 503 History and Philosophy of OT - 3 OT 504 Neuroscientific Basis of Occup Perf - 3 OT 505 Scientific Inquiry I - 2 OT 506 Research Design I - 1 OT 510 Theoretical Foundations of OT - W - 3 OT 512 Occupational Development II - W - 3 OT 517 Occupational Evaluation I - 3 OT 519 Professional Dev Seminar I - 2 OT 520 Occupational Intervention I - 5 OT 521 Practicum I - 1 OT 524 Biomed & Phenom Persp on Disability I - 3 OT 525 Documentation - 3 OT 527 Occupational Evaluation II - 3 OT 530 Occupational Intervention II - 5 OT 531 Practicum II - 1 OT 534 Biomed & Phenom Persp on Disability II - 3 OT 536 Management - 3 OT 538 Group Dynamics - 2 OT 539 Professional Dev Seminar III- 2 OT 540 Occupational Intervention III - 5 OT 541 Practicum III - 1 OT 544 Musculoskeletal Assessment - 2 OT 545 Scientific Inquiry II - 2 OT 546 Supervision - 2 OT 547 Research Implementation- 1 OT 550 Level II Fieldwork (A) - 6 OT 555 Level II Fieldwork (B) - 6 OT 558 Technology & Environ Interventions in OT - 3 OT 559 Professional Leadership - 3 OT 570 Community-Based Intervention - 3 OT 575 Advanced Professional Writing 2 OT 576 Research Analysis & Presentation - 1 Note: A clear background check is required for admittance to the OT program and eligibility for practicum and fieldwork placements.

Advanced Undergraduate (Category II) applicants (**This admission option will no longer be available after the January 2017 application deadline.) In addition to the Occupational Therapy prerequisite courses listed previously, Advanced Undergraduate applicants must have an exceptional academic record and are required to meet the University graduation requirements. Advanced Undergraduate Applicants must document completion of the following University requirements prior to admission to the occupational therapy program: English composition II 3 cr. Lab science elective (not botany) 4 cr. Fine arts elective 3 cr. Applied art elective 3 cr. Public speaking 3 cr. Literature (2 course sequence) 6 cr. OR History (2 course sequence) (6 cr.) and a History elective 3 cr. and a Literature elective (3 cr.) All state and University requirements, including computer proficiency A minimum of 90 semester credit hours Additional Information for Advanced Undergraduate (Category II) Applicants Applicants who have completed a minimum of 90 semester hours of prescribed and elective course work and who meet all admission criteria and the terms specified above are eligible for consideration for admission. Students planning to pursue this category of admission must be working toward a major in a discipline of their choice by the Junior year. This will insure that students who fail to gain admission to the graduate program or who elect not to apply will be able to complete a degree within a reasonable time period. Also, students who go on to complete a Bachelor s degree and who meet all admission criteria will be eligible to apply later as Regular Graduate applicants. In addition to the minimum admission requirements listed above, advanced undergraduate applicants also must acknowledge an understanding of the following: * according to University policy, no more than 60 semester hours of transfer credit from junior colleges will be accepted. * in addition to the OT prerequisites they must have completed the general University requirements for graduation. * they will be officially classified as an undergraduate for the first two semesters of the program but will be taking graduate courses in the program. * for the entire program they will be held to the same standards and policies as students enrolled in the graduate school (see the policies of the Graduate School). * upon satisfactory completion of all course work in the first two semesters of the program, they will be awarded a Bachelor of Science Degree in Professional Health Science. The students will then complete all necessary paperwork for reclassification as graduate students and will continue through the remainder of the program. Upon satisfactory completion of the entire program, students will be awarded a Master of Science in Occupational Therapy. * tuition will be assessed at the graduate level for the entire professional program. * in the first two semesters of the program, while classified as undergraduate students, any financial aid is restricted to the types and amounts for which undergraduate students are eligible. * the academic program for students in both categories is identical in its entirety. **Advanced Undergraduate students who are not already enrolled at University of South Alabama should apply to USA as transfer students no later than December 1 prior to the January 15 OT program application deadline. Once an advanced undergraduate has been admitted to USA and their transfer credit evaluation (TCE) has been completed, the College advisor will know how their courses have applied toward their degree requirements at USA. Advanced Undergraduate students should also submit their OT program application by January 15. If the undergraduate applicant s TCE has not been completed by the January 15 OT application deadline the applicant cannot be considered for admission to the OT program. (**This admission option will no longer be available after the January 2017 application deadline.)

UNIVERSITY OF SOUTH ALABAMA COLLEGE OF ALLIED HEALTH PROFESSIONS DEPARTMENT OF OCCUPATIONAL THERAPY CORE PERFORMANCE STANDARDS FOR ADMISSION TO, PROGRESSION IN AND COMPLETION OF THE PROGRAM IN OCCUPATIONAL THERAPY. (Rev. 8/13) It is the philosophy of the Faculty of the Department of Occupational Therapy that there are certain core performance standards and/or essential tasks and functions of an entry-level occupational therapist. Therefore, it follows that in order to successfully progress and complete the Master of Science degree program, students in occupational therapy must also possess or demonstrate the potential to develop these core performance essentials. It is acknowledged that compensation can be made for certain sensory and motor deficits and that a reasonable degree of accommodation can and should be provided. However, it is ultimately the student's responsibility to make certain that he/she can adequately perform the basic academic and clinical fieldwork requirements. General Abilities To provide quality health care, the student is expected to possess functional use of the senses of vision, touch, hearing, taste, and smell. All data received by the senses must be integrated, analyzed and synthesized in a consistent and accurate manner. In addition, the individual is expected to possess the ability to perceive pain, pressure, temperature, position, equilibrium and movement. Observational Ability The student is expected to participate in and observe demonstrations and experiments in the basic sciences including, but not limited to, physiologic and microscopic study of tissues in normal and pathologic states. In addition, the student is expected to observe the client accurately at a distance and close at hand and accurately assess health/illness alteration. Inherent in this observation process is the functional use of the senses and sufficient motor capability to carry out the necessary assessment activities. Communication Ability The student is expected to be able to effectively communicate verbally and non-verbally and to observe patients in order to elicit information, describe changes in mood, activity, and postures and to perceive non-verbal communications. This requires the ability to effectively utilize the English language in verbal and written interactions with clients, their families and other professionals in the work environment. The student must be able to communicate effectively and sensitively with patients. Motor Ability The student is expected to be able to perform gross and fine motor movements required to provide Occupational Therapy services and operate equipment to deliver care safely. Examples of movements the student must be able to perform include lifting, turning, transferring, transporting and exercising of clients. The student is expected to have the psychomotor skills necessary to perform or assist with occupational therapy evaluation procedures (i.e. manual muscle testing, joint range of motion), occupational therapy interventions, handling of equipment, and emergency interventions. The student is expected to be able to maintain consciousness and equilibrium, and have the physical strength and stamina to perform satisfactorily in clinical experiences. Critical Thinking Ability The student is expected to have the ability to develop problem solving skills. This includes the ability to measure, calculate, analyze and synthesize objective as well as subjective data and make decisions that reflect consistent and thoughtful deliberation and clinical judgment. In addition, the student should be able to comprehend three-dimensional relationships and understand the spatial relationships of structures. Interpersonal, Behavioral and Social Attributes A student must possess the emotional health and stability required for full utilization of his/her intellectual abilities, the exercise of good judgment, and the prompt completion of all responsibilities attendant to the assessment and treatment of clients. The student is expected to establish rapport, and develop and maintain mature, sensitive, and effective relationships with individuals, families and groups from a variety of social, emotional, cultural, and intellectual backgrounds. Students must be able to tolerate physically and emotionally taxing workloads and to function effectively under stress. Students must be able to adapt to changing environments, to display flexibility and to learn to function in the face of uncertainties inherent in the clinical problems of many clients. Compassion, integrity, concern for others, interpersonal skills, interest and motivation are all necessary personal qualities in order to successfully complete the training required to become an effective and competent occupational therapist. Individuals with disabilities are encouraged to apply to the Occupational Therapy Program. However, upon acceptance of the offer of Admission to the Master s degree program, it is the responsibility of the student to notify the University of South Alabama Office of Student Disability Services if there is any reason why the abilities/expectations described above cannot be met. Students who indicate that they cannot meet one or more of these and who request accommodation should meet with the Coordinator of Student Disability Services to determine, what, if any, reasonable accommodations might be possible to facilitate successful completion of the degree requirements. OT faculty are available for consultation on request.

UNIVERSITY OF SOUTH ALABAMA DEPARTMENT OF OCCUPATIONAL THERAPY DOCUMENTATION OF OCCUPATIONAL THERAPY EXPERIENCE A MINIMUM OF 25 DOCUMENTED OT OBSERVATION HOURS ARE REQUIRED. STUDENT'S NAME: The above student has volunteered or worked for me at the following: NAME OF ORGANIZATION: ADDRESS: CITY, STATE, ZIP CODE: PHONE NUMBER: NAMES AND CREDENTIALS OF OTR and/or COTA SUPERVISOR: OT SUPERVISOR S EMAIL: License # TYPE OF EXPERIENCE: (please check all that apply) inpatient outpatient pediatrics geriatrics mental health/psychiatry physical rehabilitation health promotion/disease prevention other, please specify STUDENT'S ROLE: (please check all that apply) observation assist in transport of clients/patients assist therapist in treatment of clients/patients other, please specify WAS THIS A PAID OR VOLUNTEER POSITION? (Please check one) DATE NUMBER OF HOURS DATE NUMBER OF HOURS OTHER COMMENTS: TOTAL OF HOURS: Date: Signature: Occupational Therapy Supervisor This form may be duplicated and sent to the appropriate number of occupational therapists. Please return this form to: University of South Alabama OT Admissions Committee Department of Occupational Therapy 5721 USA Drive North, Room 2027 Mobile, Alabama 36688-0002 5/15

University of South Alabama Master of Science in Occupational Therapy APPLICATION FOR ADMISSION Fall 2016 Department of Occupational Therapy Phone: (251) 445-9222 5721 USA Drive North, Room 2027 Fax: (251) 445-9211 Mobile, Alabama 36688-0002 E-mail: otdept@southalabama.edu Please PRINT or TYPE all of the information requested. Regular Graduate student (category I) Advanced Undergraduate student (category II) IDENTIFICATION INFORMATION LEGAL NAME: Last First Middle Name Prefix: Mr. Mrs. Ms. Other Name Suffix: (ex. Jr., Sr., III, etc.) Preferred First Name Maiden/Other Name ADDRESS (where USA should send your mail): Address Apt. City State Zip County Cell Phone Number Home Phone Number E-mail (your preferred e-mail address) Your Permanent Address City State Zip County ADDITIONAL IDENTIFICAITON INFORMATION Gender: Female Male Date of Birth / / Social Security # * Are you a U.S. Citizen? Yes No If not, of what country? Ethnic Background:** White/Non-Hispanic Hispanic African-American/Black American Indian/Alaskan Native Asian/Pacific Islander Other Marital Status: Unmarried Married Separated Widowed Religious Preference*** Did any of your family members graduate from USA? Yes No Relationship to applicant: Are you a veteran? Yes No If yes: Vet. File Number Vet. Type: ENROLLMENT INFORMATION Type of Admission Sought: Regular Graduate Student Date your Bachelor s Degree was awarded (or expected date) Advanced Undergraduate Student Your current school Admit Type: Current USA Student Previous USA Student New Graduate Student Transfer Undergraduate Student Your USA Student # Have you previously applied to USA? Yes No If yes, when did you apply? (Year) Have you ever attended courses at USA? Yes No If yes, when? If yes, have you attended any colleges or universities since you last enrolled at USA? Yes No Were you suspended or dismissed from USA? Yes No If yes, when? Have you previously applied to the OT program at USA? Yes No If yes, when? Have you applied to other OT programs for this admission year? Yes No Have you submitted an OTCAS application? Yes No An OTCAS application is not required. Have you ever been subjected to disciplinary action at or dismissed from any school? Yes No Have you ever been charged with a criminal offense (either misdemeanor or felony)? Yes No If the answer to either of the last two questions above is yes, append a written explanation.

ENROLLMENT INFORMATION Please note: Applicants may not disregard any part of their educational history, and failure to report all institutions previously attended will be cause for cancellation of the admissions process or for dismissal from the University. Regular graduate applicants must list the institution and expected completion date for their bachelor s degree. College Name College City, State Dates of attendance From (Month/Year) To (Month/Year) Degree Earned and/or Major subject If you have attended more than five colleges, list them all on a separate piece of paper. PREREQUISITE COURSES I HAVE COMPLETED: Please refer to the specific prerequisite course requirements for admission to the program and provide all information for each course requirement that you have completed. Prerequisite Course Course Title and Number Institution # Semester Credit Hours Grade Term & Year completed General biology I w/lab Anatomy & physiology I Anatomy & physiology II Kinesiology (biomechanics) Precalculus algebra Statistics or research methods English composition General psychology Developmental psychology (life span development) Abnormal psychology Cultural anthropology or diversity studies Elective (choose: public speaking, ethics, logic, small group discussion, group dynamics or principles of marketing)

PREREQUISITE COURSES I WILL COMPLETE BY AUGUST 2016: List any prerequisite courses that you plan to have completed before starting the OT program. Provide all information for each course. Applicants must be able to complete all prerequisite courses before the OT program fall start date. Prerequisite course Course Title and number Institution # Semester Credit Hours Date to be completed ADDITIONAL COURSES I HAVE COMPLETED: Listed below are courses that are not required. However, completion of any of these courses, with a grade of A or B, will be considered for extra admission points (maximum of 2 courses). Please do not include courses already listed under Completed Prerequisite Courses. Extra credit Course Course Title and Number Institution # Semester Credit Hours Grade Term & Year completed OT 201 Intro to OT Public speaking (dual credit is not given for the elective prerequisite course) Anatomy (300/3000 level or higher) Physiology (300/3000 level or higher) Exercise physiology Adult Development and Aging Gerontology OT OBSERVATION DOCUMENTATION: A minimum of 25 documented OT observation hours are required (see required form). I have submitted documentation of hours. Total number of hours Your Initials

TESTING INFORMATION: Have you taken the GRE test? Minimum GRE scores of 290 on the combined verbal & quantitative sections, and 3.0 on the analytical section are required to apply. YES If Yes, Date(s) My GRE scores are: NO If No, when do you plan to do so? Verbal Quantitative Analytical Minimum GRE scores of 290 on the combined verbal & quantitative sections, and 3.0 on the analytical section are required to apply. Official GRE scores must be sent to the University of South Alabama, Institution Code 1880. Test scores must be sent directly from the testing agency to be considered official. Official test scores submitted to meet admission requirements must not be more than five (5) years old. Applications are incomplete until USA has received the GRE scores of the applicant. Therefore, applicants should take the GRE at least 30 days prior to applying to assure their scores are reported to USA in a timely manner. Application deadline dates are October 1, 2015, and January 15, 2016. Qualified applicants who meet initial admission requirements may be invited for a personal interview. Interview dates are November 13, 2015, and February 26, 2016. APPLICANT S SIGNATURE I certify that the information provided is true and complete; I understand that withholding information requested, with the exception of information designated as optional, or giving false information may make me ineligible for admission and enrollment. I know and understand that any or all items contained herein may be subject to verification and I consent to the full release of all information concerning my capacity and fitness for the occupational therapy educational program by employers, educational institutions and other agencies. Furthermore, by submitting this application I agree to abide by the policies and procedures as established by the University. I also certify that, if I am a male born on or after January 1, 1960, I comply with the provisions of the United States Military Selective Service Board or that I am not yet 18 years of age and I will register when required or that I am not required by law to register (this certification is required by the State of Alabama Legislature Act 91-584). Signature of Applicant Date Non-refundable processing fee: $75.00 Indicate form of payment: check money order credit card Make checks payable to: USA Dept. of OT ($25 fee for returned checks) For credit card payments: Type: VISA MasterCard Discover Account number: / / / Card valid through (month and year): / Name on credit card (print): Authorizing Signature: It is the responsibility of the applicant to have the required official documents (GRE test scores, transcripts, etc.) sent directly from the institution or testing agency to the OT department and/or USA Office of Admissions and/or OTCAS. Transcripts issued to students are not considered official transcripts. * Your Social Security Number is optional as an applicant to the University of South Alabama and is used for identification to match and process your application with supporting documents. However, the social security number is required when you apply for financial aid. ** Information relating to your ethnic background is requested for reporting requirements to the Department of Education. The data requested will be used only for the required reports to this agency and will not be used in any way in the admission process. *** Provision of this information is not mandatory. Information on religious affiliation will be reported to local churches. Its use is in the storage, retrieval, and reporting of information. Failure to provide this information will in no way affect your admission. The University of South Alabama does not discriminate in its student and employment practices in violation of any applicable laws. The University of South Alabama is an Equal Opportunity/Equal Access educational institution. BE SURE TO SIGN YOUR APPLICATION