MENTEE Criterion 3–Knowledge: Intervention Demonstrates knowledge of relevant evidence specific to intervention in environmental modification. Guidelines Must represent a minimum of 10 hours over a minimum of 2 months. Does not include supervisory relationships. Relationship must have occurred in the past 5 years. May be with a non-occupational therapy professional if appropriate to goal(s) of relationship. Dates of mentoring relationship Approximately how many hours did this represent in total? Applicant’s goals for mentoring relationship. Goals must have been met by time of application. List no more than 3. Mentor Position/Role of Mentor Workplace of Mentor Contact Information for Mentor (email or phone number)
MENTEE Criterion 3–Knowledge: Intervention Demonstrates knowledge of relevant evidence specific to intervention in environmental modification. Guidelines Must represent a minimum of 10 hours over a minimum of 2 months. Does not include supervisory relationships. Relationship must have occurred in the past 5 years. May be with a non-occupational therapy professional if appropriate to goal(s) of relationship. Dates of mentoring relationship Approximately how many hours did this represent in total? Applicant’s goals for mentoring relationship. Goals must have been met by time of application. List no more than 3. Mentor Position/Role of Mentor Workplace of Mentor Contact Information for Mentor (email or phone number)
SCEM-OTA-Part-2-EVIDENCE-FORMS-RENEWAL.DOCX