SCHOOL OF OCCUPATIONAL THERAPY UNOFFICIAL PREREQUISITE WORKSHEET Name: Address: City, State, Zip: Date: Phone: Email: Intended Year of Entry (classes start in August): Please Read the Following Directions CAREFULLY: Convert ALL coursework to SEMESTER HOURS. List ALL repeated coursework (check R column). Do NOT use PASS/FAIL coursework unless noted. Grades of “C” or better only, “C-“ or lower not acceptable. Science courses should be taken within the last 7 years. A single course may not be used in more than one area. NATURAL SCIENCES: 10 semester hours (Quarter Hours ÷ 1.5 = Semester Hours) Must include: Human Anatomy and Physiology with lab – Full Year-Long Series (all parts of the series should be taken at the same institution, if possible) Kinesiology or biomechanics – 1 course (recommended) Semester Date To Be Course # Course Title Grade R Institution Hours Completed Completed SOCIAL SCIENCES: 9 semester hours (Quarter Hours ÷ 1.5 = Semester Hours) Must Include: General Psychology Abnormal Psychology Course # Course Title Developmental Psychology – Preferably Across the Lifespan Social Science Elective – Outside of Psychology Semester Date To Be Grade R Hours Completed Completed Institution WRITING: 3 semester hours (Quarter Hours ÷ 1.5 = Semester Hours) Must include: Expository Writing – 1 course Course # Course Title Semester Hours Grade R Date Completed To Be Completed Institution To Be Completed Institution STATISTICS: 2 semester hours (Quarter Hours ÷ 1.5 = Semester Hours) 1 course from any of the following: math, psychology, sociology, economics, or anthropology. Course # Course Title Semester Hours Grade R Date Completed HUMANITIES: 6 semester hours (Quarter Hours ÷ 1.5 = Semester Hours) Must include courses from two (2) of the following areas: literature, religion, history, philosophy, ethics, and the history or appreciation of art, music, or theater. Semester Date To Be Course # Course Title Grade R Institution Hours Completed Completed MEDICAL TERMINOLOGY: A complete sequence or course. May be taken “credit/no credit.” Semester Course # Course Title Grade Hours R Date Completed To Be Completed Institution For an unofficial evaluation of your coursework please send or fax this worksheet & your unofficial transcripts to: MAIL: Pacific University – Office of Admissions 190 SE 8th Avenue, Ste. 181 Hillsboro, Oregon 97123 FAX: (503) 352-7290 EMAIL: gradadmissions@pacificu.edu Please Note: If accepted, you must complete both the required courses and the required number of semester hours before beginning the program. If you have any questions regarding this worksheet please call 1- (800) 933-9308 and ask to speak with the Admissions Director for the OT program.