Accreditation Council for Occupational Therapy Education

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Accreditation Council for Occupational Therapy Education
Practitioner Application for Membership—Roster of Accreditation Evaluators (RAE)
Description and Responsibilities
The Accreditation Council for Occupational Therapy Education (ACOTE) is recognized by the U.S. Department
of Education and the Council for Higher Education Accreditation (CHEA) as the only accrediting body for
occupational therapy and occupational therapy assistant educational programs. ACOTE membership includes a
Chairperson, council members representing occupational therapy and occupational therapy assistant education and
practice, public members, an academic administrator, and an ex-officio AOTA accreditation staff liaison. All
decisions regarding accreditation of occupational therapy and occupational therapy assistant educational programs
are made by ACOTE.
The Roster of Accreditation Evaluators (RAE) is a separate group of occupational therapists and occupational
therapy assistants that serves the vital function of assisting ACOTE in the evaluation of occupational therapy and
occupational therapy assistant educational programs.
To qualify as an accreditor (RAE member), the applicant must:
 be either an occupational therapist or occupational therapy assistant
 be a member in good standing with AOTA
 have at least 5 years’ experience as an occupational therapy practitioner, including 3 years in education or
fieldwork, OT administration, or another area of expertise
 NOT hold concurrent positions on any AOTA policy-making or decision-making body to include:
Representative Assembly (Representative or Alternate), Board of Directors, or Ethics Commission. In
addition, RAE members may not hold a position in a credentialing capacity, e.g., National Board for
Certification in Occupational Therapy (NBCOT) Executive Board member or Certification Examination
Item Writer
Duties and Responsibilities:
 Successful completion of the 2½-day Accreditation Evaluator Workshop in early to mid-November 2015.
 Communication with AOTA accreditation staff and ACOTE.
 Completion of paper reviews as requested. The amount of time required to complete each paper review
varies, based on such factors as the skills of the RAE reviewer, the quality of the report that is reviewed,
and the depth of the report.
 Participation in 2½-day on-site accreditation evaluations as requested. Note that all expenses for on-site
visits are fully reimbursable.
 Completion of peer evaluations as requested.
Term of Service:
 3.5 years (first term)
Professional Growth:




As requested, serve as a mentor to new RAE members.
As requested, attend specialized accreditation workshops.
As requested, serve as Team Chairperson for on-site accreditation evaluations.
As invited, serve on the Accreditation Council for Occupational Therapy Education.
Application and Selection Process:
Applications will be accepted by the AOTA Accreditation Department until June 20, 2015. Members of the
ACOTE Executive Committee, in collaboration with AOTA accreditation staff, will review all eligible applications
and the final list of applicants will be reviewed by members of ACOTE. After the selections are made, all
applicants, whether selected or not, will be informed of ACOTE’s decision. All selected RAE members will need
to commit to the time and effort required to fulfill the responsibilities outlined for the position.
The American Occupational Therapy Association, Inc.
4720 Montgomery Lane, Suite 200, Bethesda, MD 20814-3449
January 2015
Accreditation Council for Occupational Therapy Education
Practitioner Application for Membership
Roster of Accreditation Evaluators (RAE)
PLEASE TYPE YOUR RESPONSES
(If you encounter difficulties in completing this form, you may hit “Tools”, “Unprotect” to add manual edits.)
Name and Degree(s)/Credentials:
OT
OTA
Home Address:
Home City, State, Zip:
Home Phone:
Fax:
Home E-mail:
Fax:
Work E-mail:
Job Title:
Current Employer:
Work Address:
Work City, State, Zip:
Work Phone:
Preferred Mailing Address:
Home or
Work
Initial Certification Date:
Preferred E-Mail Address:
Home or
Work
AOTA Membership Number:
State licensure (indicate state and license/registration number):
Institution Granting OT Degree:
Yr Granted:
Institution Granting Non-OT Degree:
Yr Granted:
Institution Granting Non-OT Degree:
Yr Granted:
Membership Categories
(complete each applicable area)
Years of
Full time
OT
Level
OTA
Level
Experience
Check one or both
Briefly Describe Place & Dates of Employment,
Duties, Responsibilities, etc.
* DO NOT ATTACH CV OR RESUME *
Coordinator of Fieldwork
Education
Staff Supervisor or Department
Director
Practitioner (direct services)
Student Supervisor
Clinical Consultant
Clinical Researcher
Other (please specify):
2
Poor
Fair
Give an example that explains each rating
Good
Very Good
Areas Evaluated
Exceptional
Please rate yourself on each area below and describe a strength or area to improve.
Professional Behaviors/Demeanor
Ethical Beliefs/Behaviors
Verbal Communication
Written Communication
Reading Nonverbal Cues
Active Listening Skills
Giving Constructive Feedback
Receiving Constructive Feedback
Time Management/Meeting Deadlines
Conflict Resolution
Computer/Technology Skills
Do you speak a foreign language?
Indicate language & fluency
Experience working as an occupational
therapy assistant practitioner or
working with occupational therapy
assistant practitioners
Please list three professional references (one must be your current immediate supervisor):
Name
Title
Daytime Phone
1.
2.
3.
Service in Professional Organizations (include dates of service):
3
Conflict of Interest:
RAE members may not hold concurrent positions on any AOTA policy-making or decision-making body or an
official position with the National Board for Certification in Occupational Therapy (NBCOT). Therefore,
membership in the following bodies constitutes a conflict of interest:




AOTA Representative Assembly (Representative or Alternate)
AOTA Board of Directors
AOTA Ethics Commission
NBCOT Executive Board or Certification Examination Item Writer
Please list any other AOTA or NBCOT positions you currently hold and the term of office.
Position
Term of office
Position
Term of office
Explain, in 200 words or fewer, why you wish to join the RAE (please TYPE or PRINT). Use additional
pages as necessary:
Please indicate where you first heard about this volunteer opportunity (e.g., AOTA Web page,
OT Practice, personal contact, etc.):
By my signature, I verify that the information contained in this application is accurate.
Name/Signature:
Date:
By June 20, 2015, please return your completed application by e-mail to [email protected] or by mail
to the address listed below:
ACOTE Accreditation Program
c/o AOTA
4720 Montgomery Lane, Suite 200
Bethesda, MD 20814-3449
If you have any questions, please contact the AOTA Accreditation Department at 301-652-6611 x2914.
DOCUMENT1
January 2015
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