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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

Student Description of Level I Fieldwork

Level I Performance Report

Level II

Student Evaluation of Fieldwork Experience

Fieldwork Facility Evaluation

AOTA Fieldwork Data Form (updated 5/2015)

Sample of AOTA Fieldwork Performance Evaluation for the Occupational Therapy Student

OT Student Weekly Review Form

Department of Occupational Therapy
Suite E321
1301 N Columbia Rd Stop 9037
Grand Forks ND 58202-9037
P 701.777.2209
F 701.777.2212
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    School of Medicine & Health Sciences

    1301 N Columbia Rd Stop 9037
    Grand Forks, ND 58202-9037

    701.777.2514

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