Fieldwork Forms
Forms used by the UND OT department for level I and level II fieldwork are available below, including those completed by students during the fieldwork experience and by fieldwork educators in preparation for and evaluation of OT students.
Level I
OT 438: Practicum: Children & Adolescents Fieldwork Setting Fact Sheet
OT 462: Practicum: Physical Dysfunction Treatment Fieldwork Setting Fact Sheet
OT 463: Practicum: Psychosocial Treatment Fieldwork Setting Fact Sheet
Student Description of Level I Fieldwork
Level II
Student Evaluation of Fieldwork Experience
AOTA Fieldwork Data Form (updated 5/2015)
Sample of AOTA Fieldwork Performance Evaluation for the Occupational Therapy Student