Expected date of conferred degree (Master of Occupational Therapy): _____________________________ Universities and other degrees held i.e.: BS in Psychology, LSUBR 2014 Describe your preferred learning style: Describe your preferred style of supervision: Do you require any reasonable accommodations as defined by ADA to complete FW? No ___Yes ___ Describe the approved ADA accommodations (LSU Associate Dean) separate paper. FW I Site FW month/ day/ year city / state / type of facility client age range, diagnosis, OT evaluations and tx techniques (LTAC, o/p, etc) FW II Site FW month/ day/ year city / state / type of facility client age range, diagnosis, OT evaluations and tx techniques (LTAC, o/p, etc)
Expected date of conferred degree (Master of Occupational Therapy): _____________________________ Universities and other degrees held i.e.: BS in Psychology, LSUBR 2014 Describe your preferred learning style: Describe your preferred style of supervision: Do you require any reasonable accommodations as defined by ADA to complete FW? No ___Yes ___ Describe the approved ADA accommodations (LSU Associate Dean) separate paper. FW I month/ day/ year Site city / state / type of facility (LTAC, o/p, etc) FW client age range, diagnosis, OT evaluations and tx techniques FW II month/ day/ year Site city / state / type of facility (LTAC, o/p, etc) FW client age range, diagnosis, OT evaluations and tx techniques
FW%20Manual%209-21-2015.docx