Occupational Therapy Assistant Program Fall 2016



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Metropolitan Community College Penn Valley APPLICATION DOCUMENTS Occupational Therapy Assistant Program Fall 2016 Reference the information packet for instructions.

Metropolitan Community College - Penn Valley Observation Form Student Name: Facility: Date: Number of Hours Observed: As part of the admission requirements for entrance into the, prospective students are required to perform at least four (4) hours of observation in an OT setting. If the prospective student has met the above requirement, please sign the form below and return it to the student. Students, this observation should be in an OT Practice setting that you have not been affiliated with in the past and must have occurred within the year prior to application. Thank you for sharing your time and expertise. We appreciate the support! Sincerely, Amber Jenkins, MLS, OTR/L Coordinator MCC-Penn Valley 3201 Southwest Trafficway Kansas City, MO 64111 Therapist Signature Date

DATE: Metropolitan Community College - Penn Valley OCCUPATIONAL THERAPY ASSISTANT PROGRAM STUDENT APPLICATION (MS/MR): Last First Middle Name(s) that appear on previous educational records if different from above. Last First Middle Permanent Address: Number Street City State Zip Temporary Address: Number Street City State Zip Home Phone: Cell Phone: Work Phone: E-Mail: MCC Student ID Number: In case of emergency notify: Name Daytime Phone High School: Dates attended and date of graduation (or date of GED) COLLEGES ATTENDED: Beginning with most recent, list all colleges you have attended. Request that official transcripts be sent to: MCC-Penn Valley 3201 Southwest Trafficway Kansas City, MO 6411-2764 College City/State Dates Attended Degree Received 6

Work Experience: In chronological order (beginning with most recent), list your employment history and describe your duties in detail in the space allowed. Include dates of your employment. Volunteer Experience: Be sure to note any volunteer experience you have in the field of occupational therapy or medical setting. Identify the facility and contact person as well as the dates of the experience and hours per week and what you did. List any other volunteer experience outside of occupational therapy as well. 7

Metropolitan Community College - Penn Valley - Curriculum Checklist Name: Student ID: Hours PROGRAM PREREQUISITES ENGL 101 Composition & Reading I (JCCC: ENGL 121, 3 Cr) (KCKCC: ENGL 101, 3 Cr) 3 *** 100 Any Biological or Physical Science 4-10 + COLL 100 **First year seminar (HLSC 100) 1 BIOL 150 Medical Terminology (JCCC:HC 130, 3 Cr) (KCKCC: BIOL 126, 2 Cr or 2 127, 3 Cr) TOTAL 10-16 FALL 1 SEMESTER EMS 100 1 Basic Emergency Patient Care 1 HLSC 108 2 Anatomy & Physiology Health Professions (Biol 109 or Biol 110 4-10 and 210) OTHA 100 *Introduction to Occupational Therapy 2 OTHA 102 Documentation Guidelines 2 OTHA 103 Clinical Conditions 2 OTHA 106 Therapeutic Interventions I 4 OTHA 114 Introduction to Fieldwork.5 OTHA 116 Level I Fieldwork I.5 TOTAL 16-22 SPRING 1 SEMESTER PSYC 140 General Psychology (JCCC: PSYC 130, 3 Cr) (KCKCC: PSYCH 101, 3 Cr) 3 SPDR 100 Fundamentals of Speech (JCCC: SPDR 121, 3 Cr) (KCKCC: SPCH 151, 3 Cr) 3 OTHA 118 Assistive Technology 2 OTHA 120 Pediatrics 3 OTHA 121 Level I Fieldwork II 1 OTHA 130 Analysis of Physical Performance 3 OTHA 154 Applied Neurology 2 TOTAL 17 SUMMER SESSION Completion of American Institutions requirement for the 3 Associate Degree TOTAL 3 FALL 2 SEMESTER OTHA 201 Mental Health 2.5 OTHA 202 Physical Dysfunction 3 OTHA 203 Gerontology 3 OTHA 208 Therapeutic Interventions II 3 OTHA 212 Level I Fieldwork III 2 OTHA 217 Capstone 2 TOTAL 15.5 SPRING 2 SEMESTER OTHA 222 Level II Fieldwork 12 1 CPR Certification will not exempt you from class MUST be taken when scheduled. 2 For PVCC HLSC 108 requirement, two JCCC options are available: Option 1 - BIOL 144 Human Anatomy & Physiology ( 5 cr) AND BIOL 145 Human Anatomy/Physiology Dissection (1 cr). (NOTE: BIOL 144 must be taken before BIOL 145.) Option 2 - BIOL 140 Human Anatomy (4 cr) AND BIOL 225 Human Physiology (4 cr). (NOTE: CHEM 122 and BIOL 140 must be taken before BIOL 225.) *OTHA 100 has open enrollment so it can be taken prior to acceptance into the OTA Program. ** COLL 100 is only required if student has less than 12 college credits already earned Grade Hours Earned Grade Points OTHA 100 can be taken before beginning the OTA Program or after accepted into the program.