This page contains the forms required by SUNY Erie OTA students completing Level II fieldwork:
Level II Fieldwork Educator Contact Form
Completed by fieldwork educator and student and returned to SUNY Erie (by student) within first week of rotation.
Completed by fieldwork educator and student and returned to SUNY Erie (by student) within first week of rotation.
Level II Student Evaluation of Orientation
Completed by student and returned to SUNY Erie by the end of the second week of fieldwork rotation.
Completed by student and returned to SUNY Erie by the end of the second week of fieldwork rotation.
Level II Fieldwork Student Learning Objectives
Used if site does not have their own current site-specific objectives
Used if site does not have their own current site-specific objectives
Mid-Term Self-Assessment Questionnaire
Completed by student at mid-term (end of week 4) and returned to SUNY Erie
Completed by student at mid-term (end of week 4) and returned to SUNY Erie
Student Evaluation of the Fieldwork Experience
Completed by student and reviewed with fieldwork educator upon completion of 8-week fieldwork rotation. Must be returned to SUNY Erie with final FWPE.
Completed by student and reviewed with fieldwork educator upon completion of 8-week fieldwork rotation. Must be returned to SUNY Erie with final FWPE.
AOTA Fieldwork Performance Evaluation
Fieldwork assessment tool to be completed by primary fieldwork educator at mid-term and final evaluation.
Fieldwork assessment tool to be completed by primary fieldwork educator at mid-term and final evaluation.
Personal Data Form
To be completed by student and sent to fieldwork educator prior to start of fieldwork. Type directly into this form.
To be completed by student and sent to fieldwork educator prior to start of fieldwork. Type directly into this form.