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* 1. Please provide your name, address, and contact information:

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* 2. What is the deadline date for submission of application materials for the OTAProgram?

Date / Time

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* 3. What is the name of the OTA Program Director?

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* 4. Select all items that are requirements for admission to the OTA Program as part of the Common Health or OTA Program-specific application

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* 5. I can transfer credits from other colleges at which I have completed courses

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* 6. My chances of getting accepted are better if I am currently taking courses at Zane State College

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* 7. It is required that I complete my observation hours in more than one practice setting.

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* 8. I can complete my observation hours in any setting in which an OT or OTA is employed for me to shadow.

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* 9. Submission of documents to the OTA Program should be done as follows: (check all that are accurate)

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* 10. Do you have any questions? If so, please submit them here. The OTA Program Director will reply via the email address you provided in your contact information.

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