Fieldwork Manual Companion Forms: Forms for Level I and Level II Fieldwork

Course Sequence

Fieldwork Data Form
Please read the Cover Letter first.

Current Liability Insurance

ACOTE Accreditation

Level I Fieldwork

Level I Practicum Evaluation for Adults and Pediatric Practicums
Note: Some have reported problems opening the MS Word version of this form. If you have problems, use the PDF version.

Adult and Senior Level I Practicum Syllabus

Pediatric Level I Practicum Syllabus

Sample Adult Slot Reservation Form (2010)

Sample Pediatric Slot Reservation Form (2011)

Level II Fieldwork

Site Specific Objectives

UF Objectives

Site Specific Objectives Checklist
Please read the Cover Letter first.

Grading Forms

Sample AOTA FWPE

Possible Grading Form for Six Week Specialty

Student Evaluation of Fieldwork Experience

Week One Follow Up Form

Midterm Follow Up Form

Syllabi for Internships

Internship I Syllabus

Internship II Syllabus

Specialty Syllabus

Supervision

Weekly Supervision Meeting

Learning Contract

Reservations

2014 Slot Reservation Form

Certificate of Participation

Certificate of Participation Letter

Certificate of Participation Form

Certificate of Participation Sample