[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-430501-105":59,"doc-detail-430501-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","aota-fieldwork-data-form-occupational-therapy-department-fieldwork-education","AOTA Fieldwork Data Form - Occupational Therapy Department Fieldwork Education","","The Fieldwork Data Form summarizes key information about an occupational therapy (OT) or occupational therapy assistant (OTA) fieldwork site. It captures the setting’s characteristics, client population, commonly used assessments, interventions, and student expectations and opportunities. The form aligns with the Occupational Therapy Practice Framework: Domain and Process, 3rd Edition, and supports collaboration among academic programs, students, fieldwork educators, and Academic Fieldwork Coordinators for quality fieldwork experiences and ACOTE Standards documentation.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/aota-fieldwork-data-form-occupational-therapy-department-fieldwork-education/430501/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/aota-fieldwork-data-form-occupational-therapy-department-fieldwork-education/430501.png","ImageObject",300,407,{"name":92,"@type":93},"Chumphorn","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",14,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What information does the Fieldwork Data Form collect about a fieldwork site?","Question",{"text":113,"@type":114},"It collects details about the setting, client population, commonly used assessments, interventions, and student expectations and opportunities.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"Who can complete the form?",{"text":118,"@type":114},"The form may be completed by the fieldwork educator, the assigned OT or OTA student, and/or the Academic Fieldwork Coordinator (AFWC).",{"name":120,"@type":111,"acceptedAnswer":121},"How is the form connected to educational curriculum and accreditation standards?",{"text":122,"@type":114},"It documents how the curriculum design links to the fieldwork component and helps the AFWC document fieldwork related ACOTE Standards.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},430501,1791033571,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":29,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},2336475401981,"https://ap-avatar.wpscdn.com/avatar/22000c94efd8d5204d?x-image-process=image/resize,m_fixed,w_180,h_180&k=1786935347598174694","Introduction:  \nThe primary purpose of the Fieldwork Data Form is to summarize information regarding the program at afieldwork site. Occupational therapy (OT) and occupational therapy assistant (OTA) students will find valuable information describing the characteristics of the fieldwork setting; the client population; commonly used assessments; interventions; and expectations and opportunities for students. The Fieldwork Data Form has been developed to reflect the Occupational Therapy Practice Framework: Domain and Process, 3rd Edition (American Occupational Therapy Association [AOTA], 2014) terminology and best practice in occupational therapy to promote quality fieldwork experiences. The data gathering processes used in completion of this form entails a collaborative effort that facilitates communication between OT and OTA academic programs, students, and fieldwork educators. This form may be completed by the combined efforts of the fieldwork educator, the OT or OTA student assigned to the site for fieldwork, and/or the Academic Fieldwork Coordinator (AFWC) from the program. Fieldwork sites are encouraged to update the form annually and provide a copy to the educational program(s) where they have a current memorandum of understanding (MOU) .  \nThe secondary purpose of the Fieldwork Data Form is to document the connection between the curriculum design of a given OT or OTA educational program with its fieldwork component. The AFWC will use the data entered on the form to document fieldwork related Accreditation Council for Occupational Therapy (ACOTE) Standards (ACOTE, 2012) . The standards are outlined in Section C of the 2011 ACOTE standards and are denoted on the form. Educational programs can revise the form to suit the needs of their respective fieldwork programs.  \nThe Fieldwork Data Form was developed through the joint efforts of the Commission on Education (COE) and the Academic Education (formerly Education) Special Interest Section Fieldwork Community of Practice withinput from many dedicated AFWCs and fieldwork educators.  \nAOTA FIELDWORK DATA FORM  \nDate:  \nName of Facility:  \nAddress: Street: City: State: Zip:  \n\n| FW I\u003Cbr>Contact Person: Credentials:\u003Cbr>Phone: Email: | FW II\u003Cbr>Contact Person: Credentials:\u003Cbr>Phone: Email: |\n| --- | --- |\n\n\n| Director:\u003Cbr>Phone:\u003Cbr>Fax:\u003Cbr>Website address: | Initiation Source: Corporate Status: Preferred Sequence of FW: ACOTE Standards B.10.6\u003Cbr> FW Office  For Profit  Any\u003Cbr> FW Site  Nonprofit  Second/Third only; First must be in:\u003Cbr> Student  State Gov’t  Full-time only  Part-time option\u003Cbr> Federal Gov’t  Prefer full-time |\n| --- | --- |\n\n\n| OT Fieldwork Practice Settings: |  |  |  |\n| --- | --- | --- | --- |\n| Hospital-based settings Community-based settings\u003Cbr> Inpatient Acute  Pediatric Community\u003Cbr> Inpatient Rehab  Behavioral Health Community\u003Cbr> SNF/Sub-Acute/Acute Long-  Older Adult Community Living Term Care  Older Adult Day Program\u003Cbr> General Rehab Outpatient  Outpatient/hand private practice\u003Cbr> Outpatient Hands  Adult Day Program for DD\u003Cbr> Pediatric Hospital/Unit  Home Health\u003Cbr> Pediatric Hospital Outpatient  Pediatric Outpatient Clinic\u003Cbr> Inpatient Psychiatric | School-based settings\u003Cbr> Early Intervention\u003Cbr> School\u003Cbr>Other area(s)\u003Cbr>Please specify: | Age\u003Cbr>Groups:\u003Cbr> 0–5\u003Cbr> 6–12  13–21\u003Cbr> 22–64  65+ | Number of Staff:\u003Cbr>OTRs:\u003Cbr>OTAs/COTAs:\u003Cbr>Aides:\u003Cbr>PT:\u003Cbr>Speech:\u003Cbr>Resource Teacher:\u003Cbr>Counselor/Psychologist:\u003Cbr>Other: |\n\nStudent Prerequisites (check all that apply)ACOTE Standard C.1.2 Health requirements:  \n CPR  First aid  HepB Physical Check up  \n Medicare/Medicaid fraud check  Infection control  MMR Varicella  \n Criminal background check training  Tetanus  Influenza  \n Child protection/abuse check  HIPAA training  Chest x-ray  \n Adult abuse check  Prof. liability ins.  Drug screening Please list any other requirements:  \n Fingerprinting  Own transportation  TB/Mantoux  \n Interview  \nPlease list how students should prepare for a FW II placeme","cbCainJkYTw7gQwN","https://ap.wps.com/l/cbCainJkYTw7gQwN","pdf",76281,"English","# Introduction\n## Purpose and Alignment\n## Completion and Collaboration\n# AOTA Fieldwork Data Form\n## Facility Information\n## FW Contact and Site Details\n## OT Fieldwork Practice Settings\n## Student Prerequisites\n## Student Schedule and Supervision\n## OT Interventions and Occupations","[{\"question\":\"What information does the Fieldwork Data Form collect about a fieldwork site?\",\"answer\":\"It collects details about the setting, client population, commonly used assessments, interventions, and student expectations and opportunities.\"},{\"question\":\"Who can complete the form?\",\"answer\":\"The form may be completed by the fieldwork educator, the assigned OT or OTA student, and/or the Academic Fieldwork Coordinator (AFWC).\"},{\"question\":\"How is the form connected to educational curriculum and accreditation standards?\",\"answer\":\"It documents how the curriculum design links to the fieldwork component and helps the AFWC document fieldwork related ACOTE Standards.\"}]","AOTA Fieldwork Data Form - Occupational Therapy Department Fieldwork Education | PDF",1790652994,15]