Occupational Therapy
Assistant Program
2014 Application for Admission
OCCUPATIONAL THERAPY ASSISTANT PROGRAM
ASSOCIATE IN APPLIED SCIENCE DEGREE
SOUTHWESTERN OKLAHOMA STATE UNIVERSITY (SWOSU)
AND
CADDO KIOWA TECHNOLOGY CENTER (CKTC)
The Oklahoma State Regents for Higher Education have approved an Associate in Applied Science degree with
Occupational Therapy Assistant Specialization. The AAS degree is offered through the Southwestern Oklahoma State
University, Sayre campus. General Education and Technical Support courses for the program will be conducted on
the Southwestern Oklahoma State University at Weatherford or Sayre and OTA Specialty courses will be conducted
on the campus of the Caddo Kiowa Technology Center in Fort Cobb, Oklahoma.
The OTA program is accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) of the
American Occupational Therapy Association (AOTA) at 4720 Montgomery Lane, Suite 200, Bethesda, MD 208143449, phone: 301-652-2682 (AOTA).
ADMISSION TO THE OTA PROGRAM REQUIREMENTS:

The OTA Program is a selective admissions program. Admission to SWOSU or CKTC does not guarantee
admission to the OTA Program.

Applicants for the OTA Program must be admitted to SWOSU at Sayre or Weatherford. Applicants must meet
SWOSU Sayre campus admission standards. A separate application for admission to the OTA Program must be
submitted directly to OTA Director Sherri Robertson by April 1st 2014. Applications may be considered until
the class is filled.

Students must be in a position to complete all prerequisite course work that is required for the fall admission.

Students will submit the following prior to the established deadline:
 Completed Admission Form to the OTA program (page 5-6).
 Completed Admission Form to Southwestern Oklahoma State University with applicable fee (available
online at www.SWOSU.edu). Required once accepted into the program.
 Completed 3 Reference Requests forms (pages 10-12).
 2 copies of official transcripts from each university or college attended.
 Observation form(s) documenting 20 hours of observation of an Occupational Therapist (OTR) or
Occupational Therapy Assistant (COTA). Documentation of observation is required and accepted on the
CKTC form only. Documentation hours should not be from a former or present place of employment.

Students are responsible for submission and receipt of all necessary documentation (transcript, letters of reference,
etc.) Late documentation may result in applications not receiving full consideration.

Student selection is based on a cumulative point admissions process. It is comprised of established criteria such
as GPA, completion of prerequisite courses, place of residence, interview score, previous related work experience,
references, documentation of observation, and written application.

All General Education and Technical Occupational Support courses must have been completed prior to the
granting of the degree and eligibility for professional certification. A minimum grade point average of 2.7 on a
4.0 scale of all college level work attempted is required. A grade of “C” or better must be attained on all
prerequisite courses. Grade point averages will be calculated in two areas: general education courses and
technical occupational support courses.

The top 14 candidates will be determined from the application, personal interview and the established point
system.

Admission to the program is available to all qualified students: SWOSU/CKTC does not discriminate on the
basis of race, color, national origin, age, marital status, sex or handicap in employment, educational programs or
activities as set forth in the Title VI of the Civil Rights Act of 1964 and section 504 of the rehabilitation act of
1973.
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2014 OTA Application Packet
POST ADMISSION REQUIREMENTS:
Upon admission to the OTA program, enrolled students will receive the OTA Student Handbook: Policy and
Procedure Manual. Post admission requirements and/or expectations include:
1.
2.
3.
4.
5.
6.
7.
8.
Cardiopulmonary Resuscitation Certification for the healthcare provider from the American Heart
Association for adult, child and infant.
Documented immunity to measles, mumps and rubella (MMR) or vaccination against MMR and two
vaccinations against Varicella (or a positive titer), Tetanus, Hepatitis B, Polio and results of a recent TB
skin test (dated within the last year). Additional vaccinations may be required in compliance with a clinical
site (i.e. flu shot).
Student Liability Insurance coverage for clinical participation payable through CKTC ($20.00 per year)
Students are responsible for all fieldwork transportation and expenses (i.e. attire, meals).
Students must purchase appropriate attire to be worn during fieldwork.
The estimated cost for Tuition (excluding books and fees) for the academic year and level IIA and IIB
fieldwork is as follows: Fall semester $2760, Spring semester $1944, and Summer $1944 (fees are subject
to change). In addition to tuition, the books and fees are approximately $1000.
A background check on each student is required by clinical sites to protect patients and the general public.
Schools reserve the right to repeat background checks if needed.
A drug screen is also required post admission. Students may be required to repeat a drug screen at the
request of clinical sites.
CERTIFICATION AND LICENSURE:
After completing the required 78 credit hours, degree graduates will be eligible to take the National Certification
Exam, to be administered by the National Board for Certification in Occupational Therapy (NBCOT). After successful
completion of this exam the individual will be a Certified Occupational Therapy Assistant (COTA). Presently the cost
of the exam is $525 and is paid directly to NBCOT. After completing the certification exam each applicant must
request in writing from the Oklahoma State Board of Medical Licensure and Supervision an application for state
licensure. The current fee for state licensure for a COTA in Oklahoma is $100, paid directly to the state board.
A felony conviction may affect a graduate’s ability to take the NBCOT Certification examination or attain
state licensure. The National Board for Certification in Occupational Therapy (NBCOT) offers an “early
determination” review to individuals with a felony background who are considering entering an educational
program. For further information call (301) 990-7979 or visit their website at www.nbcot.org
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2014 OTA Application Packet
GENERAL EDUCATION REQUIREMENTS:
Prerequisite Courses
The following prerequisite courses will provide the students with a firm foundation in the biological, physical, social, and behavioral sciences in
order to support an understanding of occupation across the life span.
GENERAL EDUCATION (SWOSU @ SAYRE OR WEATHERFORD)
American Government and Politics 1103
3hrs
United States History 1063
3hrs
English Composition I 1113
3hrs
English Composition II 1213
3hrs
Math Concepts 1143 or
College Algebra 1513
3hrs__
Semester Credits
15hrs
TECHNICAL OCCUPATIONAL SUPPORT COURSES
(SWOSU @ SAYRE OR WEATHERFORD)
General Psychology 1003
Biological Concepts (with lab) 1004
Human Anatomy (with lab) 2104
Human Physiology (with lab) 2304
Developmental Psychology 2313
Medical Terminology 2443
Semester Credits
3 hrs
4 hrs
4 hrs
4 hrs
3 hrs
3 hrs_
21hrs
All Prerequisite and Gen Ed and Tech Support areas must be completed prior to the granting of the degree and eligibility for professional
certification.
TECHNICAL OCCUPATIONAL SUPPORT COURSES
After being accepted into the OTA Program, the following courses will be completed at CKTC. These courses will be divided into three
semesters during the calendar year.
OTA SPECIALTY COURSES (@ CKTC FOR ACCEPTED STUDENTS)
SEMSTER ONE (FALL)
Disease Pathology OTA 2212
Introduction to Occupational Therapy (with Lab) OTA 1013
Kinesiology for OTA (with Lab) 1023
Therapeutic Activities (with Lab) OTA 2102
Therapeutic Media (with Lab) OTA 1102
Fieldwork 1A (with clinical Lab) OTA 2022
Elder Care in OT (with Lab) OTA 2143
Semester Credits
2 hrs
3 hrs
3 hrs
2 hrs
2 hrs
2 hrs
3 hrs______
17 hrs
SEMESTER TWO (SPRING)
Pediatric Care in OT (with Lab) OTA 2133
Health Care and OT Management OTA 2002
Physical Dysfunction and Treatment (with Lab) OTA 2113
Psychosocial Dysfunction and Treatment (with Lab) OTA 2153
Fieldwork 1B(with clinical Lab) OTA 2122
Semester Credits
3 hrs
2 hrs
3 hrs
3 hrs
2 hrs______
13 hrs
SEMESTER THREE Clinicals (SUMMER)
Fieldwork IIA 2206
Fieldwork IIB 2216
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6 hrs
6 hrs______
12 hrs
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2014 OTA Application Packet
Occupational Therapy Essential Tasks:











Students must meet class standards of course completion throughout the curriculum.
Students must be able to read, write, speak, and understand English at a level consistent with
successful course completion and development of positive patient and therapist relationships.
Students must complete readings, assignments, and other activities outside of class hours.
Students must perform treatment activities in class or in the clinical setting by direct
performance or by instruction and supervision of intermediaries.
Students must apply critical thinking processes to their work in the classroom and the clinic
and must follow established safety procedures in all contexts.
Students must exhibit interpersonal skills for productive classroom discussion, group
interaction, and the development of the patient and therapist relationships.
Students must maintain personal appearance and hygiene conducive to classroom and clinical
settings.
Students must hold a current certification in cardiopulmonary resuscitation course at the health
professional level for infant, child, and adult. (American Heart Association)
Students must demonstrate appropriate health status prior to enrollment; no active
tuberculosis, polio, rubella (German measles) and rubeola (measles) immunity, tetanusdiphtheria booster within 10 years of anticipated graduation, varicella (chicken pox) immunity,
and hepatitis B vaccine series.
Students must complete OSHA-regulated Bloodborne Pathogen Exposure Training.
Students must follow standards and policies specified in the OTA Fieldwork manual and the
contract between CKTC and fieldwork sites.
After enrollment, a student with a disability who wishes reasonable accommodation must make a formal
request in writing to the OTA program director, provide documentation substantiating the claimed
disability, meet with requirements of a disability as described by the ADA, and recommend the needed
accommodation. The OTA program reserves the right to make the final determination regarding the
accommodations to be made. Reasonable accommodation in the classroom and in clinical settings cannot
be provided without the formal request and the required documentation of the ADA defined disability. A
student may be administratively withdrawn if it becomes apparent he or she cannot complete essential
tasks, even with reasonable accommodation that the accommodations needed are not reasonable and would
cause undue hardship to the institution, or that fulfilling the functions would create a significant risk of
harm to the health or safety of others.
Accommodation of Disabilities
In compliance with Section 504 of the Rehabilitation Act and the Americans with Disabilities Act, CKTC
will provide reasonable accommodation of all medically documented disabilities. If you have a disability
and would like the school to provide reasonable accommodations of the disability, please notify Special
Needs Representatives Polly Bredy at (405) 643-3244 as soon as possible.
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2014 OTA Application Packet
SWOSU/CKTC
Application for admission to:
OCCUPATIONAL THERAPY ASSISTANT PROGRAM
SWOSU/CKTC does not discriminate on the basis of race, color, national origin, age, marital status, sex, sexual
orientation, political affiliation or physical disability.
PLEASE PRINT IN BLACK INK
Application Date____/______/_____
Application deadline April 1, 2014
Name in Full:
Last
First
Number & Street
City
Middle
Home Address:
State
Zip
Home Phone:__________________ Cell Phone:________________ Work Phone:__________________
Social Security Number:____ ____ ____- _____ _____-_____ _____ _____ _____
E-mail:________________________________________ Birthdate:
Person to Notify in Case of Emergency:____________________________________________
Address:________________________________________
Phone:______________________
Relationship:________________________________________________________________
LIST ALL COLLEGES PREVIOUSLY ATTENDED IN ORDER OF FIRST TO LAST
College Name
City & State
Date Attended
Hours Attended
Degree Earned
1.
2.
3.
4.
Are you currently enrolled in Southwestern Oklahoma State University?
o Yes
o No
Are you currently associated with the armed forces?
o Yes
o No
Upon completion return to: Sherri Robertson, OTA Program, P.O. Box 190, Fort Cobb, OK 73038
(page 1 of 2)
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2014 OTA Application Packet
OTA Application for Admission
(page 2 of 2)
Name
TO ASSIST US IN COUNSELING YOU, PLEASE FILL IN THE FOLLOWING AREAS (Course
numbers are from the SWOSU, Sayre campus catalog. Courses at the Weatherford and other institutions
may list different numbers and credit hours):
PREREQ COURSE
GRADE
I. GENERAL EDUCATION
COURSE #
COURSE NAME (if different
from listed)
UNIVERSITY/LOCATION
English Comp I 1113
English Comp II 1213
U.S. History 1063
American Govt. &
Politics 1103
Math Concepts 1143
or
College Algebra 1513
CUMULATIVE GPA
PREREQ COURSE
II. TECHNICAL SUPPORT COURSES (taken within the past seven years)
GRADE
COURSE #
COURSE NAME (if different
UNIVERSITY/LOCATION
from listed)
General Psychology
1003
Biological Concepts
1004
*Human Anatomy
2104
*Human Physiology
2304
Medical Terminology
2443
Developmental
Psychology 2313
*The Request to Substitute Prerequisite form completed by the OTA Program Director may be required prior to acceptance of equivalent course.
CUMULATIVE GPA
List any courses from above that are in progress or planned
COURSE NAME
COURSE
#
LOCATION
PLANNED DATE OF
COMPLETION
DATE
COMPLETED
(office use only)
Upon completion return to: Sherri Robertson, OTA Program, P.O. Box 190, Fort Cobb, OK 73038
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2014 OTA Application Packet
Occupational Therapy Assistant
Applicant’s Check List
The applicant’s file must contain the following information in order to be considered complete. Applications must be
turned in to Sherri Robertson by April 1st 2014. Applications may be considered until the class is filled.
______ 1.
Application Form for the Occupational Therapy Assistant Program (page 5 & 6). Complete this
form in your own legible handwriting. (Neatness and completion is important!)
______ 2.
Application Form for Admission to Southwestern Oklahoma State University with applicable
fee. Available online at www.swosu.edu/admissions/apply.asp. This form is required once accepted
into the OTA program.
______ 3.
Two official transcripts from each college or university attended by the applicant. (Note: Courses
reflected as “in progress” will require an updated transcript once completed.)
______ 4.
Interest Form (page 8 along with page 9 if applicable). Complete this form in your own legible
handwriting.
______ 5.
Three references (pages 10-12). Sign and date the top portion of the Reference Request form
pertaining to waiving your right to access this form. Ask your references to complete the forms and
mail them directly in the addressed envelope enclosed. References should be from professional or
educational contacts only (college teachers, former or present employers or supervisors, etc.)
6.
Documentation of 20 hours of observation of an OTR or COTA (Page 13 & 14). Hours should not be
obtained from former or present places of employment. This form should be
completed by the supervisor of your observation hours.
7.
Official immunization record. The enclosed form is for reference only and does not take the place of
an official immunization record. Questions regarding immunizations may be directed to the OTA
Academic Fieldwork Coordinator Malissia Harrison at (405) 643 – 3213.
All of the above requested information should be sent directly to:
Sherri Robertson
OTA Program
P.O. Box 190
Fort Cobb, OK 73038
You will be notified by phone if you have been selected for an interview. If selected, the specific time, date and place
of the interview will be designated. Applicants not chosen for an interview will be notified by mail.
Students Selected for the OTA Program
A background check and a drug screen are both required for clinical participation in the OTA program. The deadline
to submit the background check form with the $45 fee will be June 25th. The drug screen will be performed on-site
and the $45 fee will be added to the student cost sheet. All immunizations are required once you have been accepted
into the program. Questions pertaining to immunizations may be directed to OTA Academic Fieldwork Coordinator
Malissia Harrison at the address below or by calling (405) 643-3213:
Occupational Therapy Assistant Program
Caddo Kiowa Technology Center
P.O. Box 190
Fort Cobb, OK 73038
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2014 OTA Application Packet
INTEREST FORM
This page should be completed in your own legible handwriting.
1.
Write a brief paragraph on your interest in the program.
2.
How did you learn about this program?
3.
Have you had related experience in the Health Field? Explain (attach page 9).
4.
What do you plan to do if you are not chosen for this program?
AFFIRMATIVE ACTION COMPLIANCE STATEMENT
Southwestern Oklahoma State University and Caddo Kiowa Technology Center in compliance with Title VI and Title
VII of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, Section 503 of the Rehabilitation
Act of 1973, Section 402 of the Readjustment Assistance Act of 1974, Americans With Disabilities Act of 1990 and
other Federal laws and regulations does not discriminate on the basis of race, color, national origin, gender, age,
religion, disability, or status as a veteran in any of its policies, practices, or procedures. This includes but is not
limited to admissions, employment, financial aid, and educational services.
Signature
Date_________________________________________
Upon completion return to: Sherri Robertson, OTA Program, P.O. Box 190, Fort Cobb, OK 73038
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2014 OTA Application Packet
Occupational Therapy Assistant Program
Documentation of Health-Related Experience
This form is provided to verify any health-related experience you include in your application (Page
8 Question 3) and will be further discussed in the event of an interview. Examples of healthrelated experience may include employment as a Therapist Aide or Technician, EMT, ATC,
Certified Nursing Assistant, First Responder, or as a volunteer in a hospital or nursing home
setting, etc.
I,
in
, authorize the release of information regarding my experience
(Print Name)
a health-related occupation for consideration as a part of my OTA application.
Signature
Date
Facility/Business
Phone No.
Mailing Address
Street, City, State, Zip
Supervisor’s Name
Dates Employed/Volunteered: From
Title
To
Number of Hours
Title
Job Duties:
Facility/Business
Phone No.
Mailing Address
Street, City, State, Zip
Supervisor’s Name
Dates Employed/Volunteered: From
Title
To
Number of Hours
Title
Job Duties:
Upon completion return to: Sherri Robertson, OTA Program, P.O. Box 190, Fort Cobb, OK 73038
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2014 OTA Application Packet
OCCUPATIONAL THERAPY ASSISTANT PROGRAM
Reference Request
I understand that Federal law provides me, after enrollment, a right of access to this statement of recommendation. I
also understand that I have the right to hereby waive, do not waive (check one) this right of access.
APPLICANT SIGNATURE:
DATE:
has applied for admission to the Occupational Therapy
Assistant Program at Southwestern Oklahoma State University - Caddo-Kiowa Technology Center, and has listed you
as a personal reference. Please note that an Occupational Therapy Assistant must assume responsibilities relevant to
individual health needs. We solicit your frank evaluation to assist us in deciding whether or not the applicant should be
accepted into the program. We ask that a high rating be given only to a truly superior individual.
How long have you known the applicant?
What has been your association with the applicant?
Please rate the following characteristics:
Fair
Average
Good
Very Good
Superior
Unable to
Appraise
Reliability
Integrity
Initiative
Personality
Communication Skills:
Verbal
Written
Considering the applicant's general qualifications, please rate the applicant as:
Undesirable
Fairly Desirable
Additional Comments:
Desirable
Very Desirable
Signed:
Date:
Name:
Position:
(Please Print)
Business Name:
Business Address:
Phone:
Upon completion return to: Sherri Robertson, OTA Program, P.O. Box 190, Fort Cobb, OK 73038
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2014 OTA Application Packet
OCCUPATIONAL THERAPY ASSISTANT PROGRAM
Reference Request
I understand that Federal law provides me, after enrollment, a right of access to this statement of recommendation. I
also understand that I have the right to hereby waive, do not waive (check one) this right of access.
APPLICANT SIGNATURE:
DATE:
has applied for admission to the Occupational Therapy
Assistant Program at Southwestern Oklahoma State University - Caddo-Kiowa Technology Center, and has listed you
as a personal reference. Please note that an Occupational Therapy Assistant must assume responsibilities relevant to
individual health needs. We solicit your frank evaluation to assist us in deciding whether or not the applicant should be
accepted into the program. We ask that a high rating be given only to a truly superior individual.
How long have you known the applicant?
What has been your association with the applicant?
Please rate the following characteristics:
Fair
Average
Good
Very Good
Superior
Unable to
Appraise
Reliability
Integrity
Initiative
Personality
Communication Skills:
Verbal
Written
Considering the applicant's general qualifications, please rate the applicant as:
Undesirable
Fairly Desirable
Additional Comments:
Desirable
Very Desirable
Signed:
Date:
Name:
Position:
(Please Print)
Business Name:
Business Address:
Phone:
Upon completion return to: Sherri Robertson, OTA Program, P.O. Box 190, Fort Cobb, OK 73038
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2014 OTA Application Packet
OCCUPATIONAL THERAPY ASSISTANT PROGRAM
Reference Request
I understand that Federal law provides me, after enrollment, a right of access to this statement of recommendation. I
also understand that I have the right to hereby waive, do not waive (check one) this right of access.
APPLICANT SIGNATURE:
DATE:
has applied for admission to the Occupational Therapy
Assistant Program at Southwestern Oklahoma State University - Caddo-Kiowa Technology Center, and has listed you
as a personal reference. Please note that an Occupational Therapy Assistant must assume responsibilities relevant to
individual health needs. We solicit your frank evaluation to assist us in deciding whether or not the applicant should be
accepted into the program. We ask that a high rating be given only to a truly superior individual.
How long have you known the applicant?
What has been your association with the applicant?
Please rate the following characteristics:
Fair
Average
Good
Very Good
Superior
Unable to
Appraise
Reliability
Integrity
Initiative
Personality
Communication Skills:
Verbal
Written
Considering the applicant's general qualifications, please rate the applicant as:
Undesirable
Fairly Desirable
Additional Comments:
Desirable
Very Desirable
Signed:
Date:
Name:
Position:
(Please Print)
Business Name:
Business Address:
Phone:
Upon completion return to: Sherri Robertson, OTA Program, P.O. Box 190, Fort Cobb, OK 73038
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2014 OTA Application Packet
DOCUMENTATION OF OBSERVATION HOURS
OCCUPATIONAL THERAPY ASSISTANT PROGRAM
SWOSU/CADDO KIOWA TECHNOLOGY CENTER
Sherri Robertson
P.O. Box 190, Fort Cobb, OK 73038
Please make copies of
this form as needed
Observation hours should
not be obtained from a site
where you have been, or
are, presently employed.
Documentation Concerning:
(Last)
(First)
MI)
I understand that Federal law provides me, after enrollment, a right of access to this statement of recommendation. I also understand
that I have the right to hereby
waive,
DATE:
do not waive (check one) this right of access.
SIGNATURE:
How long and in what capacity have you known the applicant?
APPLICANT TRAIT EVALUATION:
PLEASE EVALUATE THE APPLICANT ON ACTUAL OBSERVED PERFORMANCE AS COMPARED TO OTHER
STUDENTS YOU HAVE KNOWN WITH SIMILAR BACKGROUNDS.
1.
Motivation:
The desire of the applicant to invest him/her self to reach goals.
 Highly motivated
 Inconsistent
 Motivated
 Unmotivated
2.
Concern for Others: The consideration of other's feelings and the applicant's ability to view other points of view as well
as their own.


3.
Sincerely concerned
Generally concerned
Interpersonal Relations:
Attendance:
Appearance:
effectively
 Routinely display difficulty in relating to others
 Unable to effectively interact with others
The reliability of the applicant to be at designated functions and on time.
 Usually
 Usually
5.
Occasionally concerned
Indifferent
The ability of the applicant to develop effective interactions with others.
 Relates exceptionally well and always
 Usually relates well and effectively
4.


keeps scheduled appointments, on time
keeps appointments, occasionally tardy
 Unreliable in keeping
 Never on time
appointments
The applicant's appearance is professionally appropriate for the situation.
 Always neat and clean
 Generally neat and clean
 Frequently sloppy and/or
 Never neat and clean
dirty
NOTE: WE REALIZE THAT ITEMS 6-10 MAY BE DIFFICULT TO ASSESS DURING A SHORT OBSERVATION
PERIOD. HOWEVER, WE WOULD APPRECIATE ANY INPUT YOU MAY HAVE.
6.
Responsibility:
The applicant's ability to assume the consequences of his/her behavior.
 Consistently assumes responsibility
 Occasionally assumes responsibility
 Fails to assume responsibility
 Makes excuses
 Not observed
or blames others
(page 1 of 2)
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2014 OTA Application Packet
7.
Integrity:
The applicant's adherence to honesty in dealings with others.
 Consistently
 Not
 Generally
trustworthy
honest
 Occasionally questionable
 Not
trustworthy
observed
8.
Adaptability:
The applicant's ability to react under stress in a mature and dependable manner.
 At ease under any condition
 Panics in a crisis situation
 Usually handles stressful situations
 Not observed
 Not predictable
9.
Resourcefulness: The applicant's ability to identify and utilize available resources appropriately.
utilizes resources
resources appropriately
 Utilizes resources when pointed out
10.
Work Skills:
 Creatively
 Does
 Utilizes
 Not
The applicant's ability to learn and perform tasks.
and independent
with occasional supervision
 Reliable with constant supervision
11.
not make use of resources
observed
 Reliable
 Consistently
 Reliable
 Not
unreliable even with supervision
observed
Awareness of Personal Limitations: The applicant's ability to identify their own limitations in a realistic
manner.
aware of limitations and strives to remediate
identify areas of limitation
 Is aware but chooses not to change behaviors
12.
 Is

 Can

Denies limitations or is defensive
Not observed
How would you rank this student in comparison to others you have known who have been accepted to an
academic occupational therapy program? (Please circle one)
Truly Exceptional
Outstanding
100 - 99%
98 - 90%
A
Above Average
Average
89 – 75%
74 - 60%
B
Below Average (Poor)
59 - 0%
13.
Give us your specific and candid comments as to the applicant's assets and liabilities relative to future study
and performance as an occupational therapy assistant.
14.
How do you recommend the applicant for admission to the SWOSU/Caddo-Kiowa TC Occupational
Therapy Program?
 I recommend with enthusiasm
 I recommend with reservations
 I recommend
 I do not recommend
Number of Hours Applicant Observed at your facility
Date:
Signature:
Printed Name:
Position:
Phone:
Business Name:
Business Address:
SUPERVISOR OF OBSERVATION HOURS: ONCE COMPLETED, PLEASE RETURN TO: Sherri Robertson, OTA
Program, P.O. Box 190, Fort Cobb, OK 73038
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2014 OTA Application Packet
OCCUPATIONAL THERAPY ASSISTANT
IMMUNIZATION OR TITER REQUIREMENTS
For students admitted into the OTA program
The following immunizations are mandatory prior to clinical participation. Once accepted, students are
required to submit all original documentation (i.e. shot record, dr’s note) to the Academic Fieldwork
Coordinator by June 25th. Failure to provide immunizations will result in removal from the OTA Program.
1.
TB SKIN TEST (PPD is required annually)
(If you have a positive reading, results of chest x-ray should be indicated)
2.
TB SKIN TEST
(Test should be repeated within one to two weeks, if it has been over a year since your
last PPD.)
3.
TETANUS-DIPHTHERIA (Td)
Completed primary series of tetanus-diphtheria immunizations or received tetanusdiphtheria booster within the last five years.
4.
POLIO
Completed Primary Series of Polio Immunizations.
5.
MEASLES (Rubeola) (Not recommended if born before 1957)
Initial dose (Received on or after 1st birthday and since 12-31-69)
6.
MUMPS
Immunized at 12 months or later
7.
RUBELLA (3 day measles)
Immunized at 12 months or later
8.
VARICELLA TITER (Chicken Pox)
Immunized if titer shows no immunity
9.
HEPATITIS B shot series.
An official immunization record dated within the last year is required. This form is for reference only and does
not take the place of an official immunization record.
I acknowledge that the above mentioned immunizations are required for clinical participation. Once accepted, I
will provide original documentation of verification to the Academic Fieldwork Coordinator by the imposed
deadline.
Student Name: _________________________________________________
Student Signature: ______________________________________________
Upon completion return to: Sherri Robertson, OTA Program, P.O. Box 190, Fort Cobb, OK 73038
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FREQUENTLY ASKED QUESTIONS
Occupational Therapy Assistant
Q.
A.
How do I get into the Occupational Therapy Assistant Program?
Contact the OTA program faculty at Caddo Kiowa Technology Center (CKTC) or Southwestern Oklahoma
State University (SWOSU), Weatherford or Sayre campus, to discuss the details of your career choice
and/or contact the OTA program concerning application to the program at (405) 643-3206.
Q.
A.
When can I enter the Occupational Therapy Assistant Program?
A new class is selected to begin in the Fall Semester (August) of each year.
Q.
A.
Does acceptance to SWOSU guarantee admission to the program?
No. We have a limited number of positions available in the program, so admission is on a selective and
competitive basis. Selection is based on a cumulative point admissions process comprised of: previous
college performance and prerequisites completed, interview, observation forms, place of residence,
previous related work experience, written application, interview score and references.
Q.
A.
May I take the program on a part-time basis?
No. The general education courses that are required may be taken on a part-time basis, but once student is
admitted to the program, he/she must follow the remainder of the prescribed curriculum.
Q.
A.
Are there any prerequisite courses to be taken prior to entering the program?
Yes. General education and technical occupational support courses are required as part of the admission
process. All technical support courses must have been taken. All prerequisite courses must be completed
prior to the granting of the degree and eligibility for professional certification.
Q.
Does taking the required general education courses prior to admission to the program, guarantee
admission?
No.
A.
Q.
A.
Do I get any training or practice in an Occupational Therapy facility during the program?
Yes. Fieldwork experience is crucial to the preparation of an occupational therapy assistant. As part of
your training in the OTA program, you will rotate through numerous clinical sites to receive your required
fieldwork experience.
Q.
A.
What are the requirements to participate in clinicals?
To comply with our cooperative agreements with participating hospitals, it is necessary for all accepted
students to pass both a background check and a drug screen. This background check will be performed
prior to the first semester. The drug screen will be performed on site during the first semester. The
Occupational Therapy Practice Act states the licensure board may deny licensure as an Occupational
Therapy Assistant based on the following grounds: (3) Being convicted of any federal or state law,
excepting any misdemeanor, traffic law or municipal ordinance. Immunizations and appropriate attire are
also required by each individual site.
Q.
A.
What if I have a criminal background?
A felony conviction may affect a graduate’s ability to sit for the NBCOT Certification examination or
attain state licensure. The National Board for Certification in Occupational Therapy (NBCOT) offers an
“early determination” review to individuals with a felony background who are considering entering an
educational program. For further information call (301) 990-7979 or visit their website at www.nbcot.org
Q.
A.
Do I receive any pay for clinical time?
No. Your clinical rotations are part of your education, not employment.
Q.
A.
Are uniforms and name tags provided?
No. You will be required to purchase them as part of your student cost.
Q.
A.
Will I be a licensed OTA upon successful completion of this program?
No. You must take the National Certification Exam to become a COTA. Individual states usually grant
licensure based upon your national exam scores from the State Board of Licensure and Supervision.
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Q.
A.
May I choose the occupational therapy facility at which I wish to spend my clinical time?
No. You will be assigned your clinical rotation. Assignments could be made to any of the clinical facilities
used by this program.
Q.
A.
Is transportation provided to and from the clinical facilities?
No. You are responsible for your own transportation.
Q.
A.
Do I need to have malpractice insurance while working in the clinical?
Yes. Malpractice insurance is automatically obtained for each year that you are in the program, which is
included in your semester fees.
Q.
I am still in high school. What courses should I take now to prepare myself for a career as an
Occupational Therapy Assistant?
Physical Science, Biology, Physiology, Physics, Algebra, etc. Participation in health career clubs and
organizations would also be helpful.
A.
Q.
A.
May I take the program at night?
No. The OTA courses are offered during the daytime only. The basic education prerequisite courses
are generally offered at night as well as daytime.
Q.
A.
I must work while attending school. How should I arrange my schedule to accomplish both?
The course content for the OTA program is very demanding. The less you work, the better your chance at
successfully completing the program. Due to the coursework difficulty it is recommended that you do
not work during your attendance in the program. In general, try to minimize all other demands on your
time to allow for sufficient study time.
Q.
A.
How much time per week will I actually spend in classes?
This will vary with each semester and will depend on the courses you are taking each semester.
Q.
A.
Will the program faculty send for my transcript?
No. It is the student’s responsibility to obtain two original transcripts (from each institution attended) and
submit them with the application.
Q.
A.
Are there any age, sex, or race restrictions or requirements?
No. Both SWOSU and CKTC are in compliance with Title VI and Title VII of the Civil Rights Act of 1964,
Title IX of the Education Amendments of 1972, Section 503 of the Rehabilitation Act of 1973, Section 402
of the Readjustment Assistance Act of 1974, Americans with Disabilities Act of 1990 and other Federal laws
and regulations that forbid discrimination on the basis of race, color, national origin, gender, age, height,
weight, marital status, sexual orientation, religion, disability, or status as a veteran in any of its policies,
practices, and
procedures. This includes, but is not limited to, admissions, employment, financial aid, and
educational
services.
Q.
A.
What are the grade requirements if admitted to the OTA program?
You must achieve a “C” or better in each OTA course.
Q.
A.
After receiving certification, may I work in another state?
Yes. If you hold a license in that state, which may be obtained through application process according to
state regulations. Presently, the license fee for the State of Oklahoma is $100 (not covered in our program
costs).
Q.
A.
What are the current costs of the program?
Cost can vary considerably with changes in tuition, fees, and price of books. Current tuition per semester is
estimated at $2760 for Fall and $1944 for Spring with the clinical semester at $1944. In addition to tuition,
the books and fees are approximately $1,000. Financial aid, loans and scholarships are available through
Southwestern Oklahoma State University (Sayre).
Q.
A.
How is the job market outlook for OTAs in this area and the State of Oklahoma?
It appears good. Employment looks especially good if you are interested in rural community practice.
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2014 OTA Application Packet
Q.
A.
Does the college or technology center find a job for me upon graduation?
No. However, the OTA faculty will post job opportunities available in institutions which have contacted
the program, and the job placement service office at CKTC provides information and assistance to students
searching for jobs.
Q.
A.
How are applicant’s selected?
Applicants who have completed the application process will be requested to interview if their accrued
points in the selection system are high enough.
Q.
A.
Is any financial aid available for OTA students?
This will depend on your individual situation. Financial assistance is available for many students in the
form of loans, grants, scholarships, fee-waiver, work-study, etc., depending upon need, academic
performance, funds available, and student classification. You should contact the SWOSU financial aid
office for details and assistance.
Q.
A.
Is this program accredited?
Yes. The OTA program is fully accredited by the Accreditation Council for Occupational Therapy
Education (ACOTE) of the American Occupational Therapy Association (AOTA).
Q.
A.
What is the refund policy for tuition and fees?
Once admitted to CKTC for the OTA program, refunds of tuition and refundable fees are prorated
according to the following schedule: If the student withdraws before classes begin percentage of refund is
100%; within 1 week is 80%; within 2 weeks is 60%; within 3 weeks is 45%; within 4 weeks is 25%; after
4 weeks is 0%. Refunds to students funded by the “G.I.” bill who have paid tuition in advance are refunded
on a prorata basis. The refund will be in the same ratio to the total semester tuition paid as the uncompleted
portion of the semester is to the total semester for which tuition was paid.
You may also visit our program website at www.caddokiowa.com/ota
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