Pacific University
School of Occupational Therapy
Academic Standing Semester Report Form
Date:
Alum Year:
Student: first name, last name
OTD 1
OTD 2
OTD 3
Datatel Applicant #:
Academic Advisor:
Academic Standing comments: Overall academic standing includes: academic performance,
practice skills, compliance with school rules and procedures, professional competence,
interpersonal and professional relations, and professional/ethical conduct and attitudes.
ACADEMIC STANDING:
1.
Academic performance is:
Grade point average of previous semester:
Cumulative OT grade point average:
Acceptable:
Of Concern:
Warning:
Probation:
Acacemic Standing Comments:
Text here:
2.
Transcript noted OTD Electives (applicable to 2nd and 3rd year students:
Text here:
Acceptable:
Of Concern:
Warning:
Probation:
3. Development of practice skills is:
(Knowledge, Critical reasoning, technical skills)
Text here:
Acceptable:
Of Concern:
Warning:
Probation:
4. Compliance with school rules or precedures is:
(a note of “All Immunization Records, with a date means compliance)
Text here:
Acceptable:
Of Concern:
Warning:
Probation:
AOTA Membership:
(Yes or No)
Text here:
5. Professional Ethical Conduct and attitudes are:
Text here:
Acceptable:
Of Concern:
Warning:
Probation:
6.
Interpersonal and professional relations are:
(Therapeutic rapport, community/peer/faculty/staff interaction)
Acceptable:
Of Concern:
Warning:
Probation
Text here:
7.
If box to the left is checked, please find additional correspondence in your folder
from the Director, or your Academic Advisor.
8.
Greg Wintz, Ph.D., Program Director
Director Signature:
FINANCIAL AID INFORMATION:
Students who develop special mid-year circumstances such as high transportation costs, certain
unexpected medical expenses, childcare expenses, extra equipment/supplies, high room and board costs
(credit cards and car payments do not count) can contact Dianna Hall in the Financial Aid Office by email
hall4524@pacificu.edu to determine whether their special circumstance qualifies for a budget increase. If
a budget increase is approved students will be able to apply for additional grad plus or private loans.
Students must be credit worthy for these loans.
If you have any questions or need to contact Financial Aid, Diana's information is below:
Diana Hall
Associate Director
Pacific University Financial Aid
2043 College Way
Forest Grove, OR 97116
503-352-2863
fax 503-352-2940