MENTORING RELATIONSHIP–MENTEE Back to Criteria Performance Skills Criterion 6—Intervention: In collaboration with the supervising occupational therapist, performs interventions that are unique to driving and community mobility integrating impact of varying client factors and contexts. 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. Dates of mentoring relationship Approximately how many hours did this represent in total? Applicant’s 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)
MENTORING RELATIONSHIP–MENTEE Back to Criteria Criterion 6—Intervention: Performance Skills In collaboration with the supervising occupational therapist, performs interventions that are unique to driving and community mobility integrating impact of varying client factors and contexts. 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. Dates of mentoring relationship Approximately how many hours did this represent in total? Applicant’s 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)
SCDCM-A-OTA-Part2EVIDENCE%20FORMS.docx