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It is designed to capture both applicant details and a formal evaluation by a credentialed occupational therapy practitioner. The evaluation criteria focus on essential professional competencies, including non-verbal and verbal communication, workplace etiquette, professional boundary maintenance, and appropriate technology use. Practitioners must certify a minimum of 20 hours of experience across specific patient populations such as pediatric, adult, or older adult care. The form concludes with practitioner identification and licensing details, and instructions for the applicant to submit the verified documentation through the OTCAS online application system to support their OTD program candidacy.",{"@graph":69,"@context":122},[70,84,105],{"@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/volunteer-or-work-experience-in-occupational-therapy-form/430497/",{"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/volunteer-or-work-experience-in-occupational-therapy-form/430497.png","ImageObject",300,407,{"name":92,"@type":93},"Chumphorn","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-31","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the minimum number of hours required for the experience?","Question",{"text":112,"@type":113},"Applicants are required to complete a minimum of 20 hours of volunteer or work experience in occupational therapy.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Who is qualified to complete the practitioner section of the form?",{"text":117,"@type":113},"The form must be completed by a fully credentialed occupational therapy practitioner who supervised the experience and is not a personal friend, relative, or family member.",{"name":119,"@type":110,"acceptedAnswer":120},"How should the completed form be submitted?",{"text":121,"@type":113},"Once completed, the applicant must retain the form and submit it through the online application system (OTCAS) along with their OTD application.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},430497,1791173216,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81,"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","VOLUNTEER or WORK EXPERIENCE in Occupational Therapy  \nApplicant, please fill out this section completely as failure to do so could invalidate this form.  \nName   Address    \nEmail      \nApplicant Signature Date  \n\n| OCCUPATIONAL THERAPY PRACTITIONER SECTION\u003Cbr>The remainder of this form must be completed by a fully credentialed occupational therapy practitioner who supervised the applicant’s volunteer or work experience. The practitioner may NOT be a personal or family friend or relative. |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- |\n|  | Criteria | Concerned about recommending | Recommend w/reservations | Recommend | Recommend\u003Cbr>highly |\n|  | 1. Demonstrates appropriate non-verbal communication skills (appears alert, engaged, interested; makes eye contact) |  |  |  |  |\n|  | 2. Displays appropriate verbal communication skills (asks questions, initiates discussion without disruption) |  |  |  |  |\n|  | 3. Demonstrates professional behaviors (arrives on time, respectful, maintains appropriate boundaries) |  |  |  |  |\n|  | 4. Refrains from personal use of technology unless otherwise directed |  |  |  |  |\n| Comments (optional) : |  |  |  |  |  |\n| I verify that the above applicant has completed   (minimum of 20 hours required) hours of volunteer or work experience with the following population (Circle One): Pediatric Adult Older Adult\u003Cbr>Occupational Therapy Practitioner Name OT License Number/State\u003Cbr>Institution Name Position/Title\u003Cbr>Address Office Telephone Number\u003Cbr>Email Address\u003Cbr>Occupational Therapy Practitioner Signature Date |  |  |  |  |  |\n|  |  |  |  |  |  |\n\nUpon completion, applicant will retain form to submit with OTD application via online application system (OTCAS) .  \n12-10-25","cbCaimeZi3iP1lZT","https://ap.wps.com/l/cbCaimeZi3iP1lZT","pdf",162696,"English","# Applicant Information\n# Practitioner Evaluation Criteria\n# Experience Verification Details\n# Submission Instructions","[{\"question\":\"What is the minimum number of hours required for the experience?\",\"answer\":\"Applicants are required to complete a minimum of 20 hours of volunteer or work experience in occupational therapy.\"},{\"question\":\"Who is qualified to complete the practitioner section of the form?\",\"answer\":\"The form must be completed by a fully credentialed occupational therapy practitioner who supervised the experience and is not a personal friend, relative, or family member.\"},{\"question\":\"How should the completed form be submitted?\",\"answer\":\"Once completed, the applicant must retain the form and submit it through the online application system (OTCAS) along with their OTD application.\"}]","Volunteer or Work Experience in Occupational Therapy - Form | PDF",1790652984]