Mcmaster University Occupational Therapy Program Msc OT

McMaster University Occupational Therapy Program MSc OT

Clinical Education Placement Requests Form

November 2015 – September 2016

Thank you very much for your important placement offers for the coming academic year!

Facility:
Contact:
Address:
Ph: / Email:
FALL,
2015
OTP I / 1st Year ~ Fieldwork Level 1 / November 23 – December 18, 2015 / 4 weeks

Include practice area and preceptor contact information if known

Preceptor Name
(if known) / Number of Students / Area of Practice
(if known) / Placement Requirements
(ex. Access to a vehicle, request for a strong student, etc.) / Site & Contact Info
(if different from above)
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WINTER,
2016
OTP III / 2nd Year ~ Fieldwork Level 3 / 8 week placements will run either:
January 4 – February 26, 2016
OR: January 11 – March 4, 2016 / 8 weeks

Include practice area and preceptor contact information if known

Preceptor Name
(if known) / Number of Students / Area of Practice
(if known) / Placement Requirements
(ex. Access to a vehicle, request for a strong student, etc.) / Site & Contact Info
(if different from above)
1.
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10.
SPRING,
2016
OTP II / 1st Year ~ Fieldwork Level 2 / 8 week placements will run either:
March 7 – April 29, 2016
OR: March 14 – May 6, 2016 / 8 weeks

Include practice area and preceptor contact information if known

Preceptor Name
(if known) / Number
of Students / Area of Practice
(if known) / Placement Requirements
(ex. Access to a vehicle, request for a strong student, etc.) / Site & Contact Info
(if different from above)
1.
2.
3.
4.
5.
6.
7.
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9.
10.
SUMMER,
2016
OTP IV / 2nd Year ~ Fieldwork Level 3 / Placements will run for 8 weeks sometime between
June 27 and September 16, 2016 / 8 weeks

Include practice area and preceptor contact information if known

Please submit to Gioia Di Vincenzo, Clinical Education Assistant, via email at or by fax at (905) 524-0069

Developing Ourselves, Developing Our Future… Together we are Clinical Education