2021 Occupational Therapy Graduate Student Research Conference Registration Form & Evaluation

Registration Page

Certificate and contact hours will be e-mailed to you within 1-2 weeks upon completion of this survey. Thank you for providing feedback!

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* 1. Please enter your full name (first & last).

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* 2. Please enter your e-mail address.

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* 3. What is your association with Salem State? Please check all boxes that apply.

Alumni of SSU OT Program

Level I Fieldwork Supervisor

Level II Fieldwork Supervisor

Professional

Student

Other (please specify)

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* 4. Please rate the website organization & accessibility.

Excellent

Good

Fair

Poor

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* 5. Please rate the Keynote Speaker presentation.

Excellent

Good

Fair

Poor