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Master of Occupational Therapy Program - Governors State University

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GOVERNORS STATE UNIVERSITY – OCCUPATIONAL THERAPY DEPARTMENT<br />

ADMISSION TO CANDIDACY FOR THE MASTER’S<br />

DEGREE<br />

NOTE: This application should be filed after 75 credit-hours have been earned in the MOT program. All<br />

conditions <strong>of</strong> admission and progression must be met. A GPA <strong>of</strong> 3.0 is required. The student submits this<br />

form to their advisor and the Chair <strong>of</strong> the <strong>Occupational</strong> <strong>Therapy</strong> Department for signature.<br />

PART I: Applicant Information<br />

Full Name:<br />

(Last) (First) (Middle)<br />

E-Mail Address:<br />

Mailing Address:<br />

Home Phone:<br />

(Street) (City) (<strong>State</strong>) (Zip)<br />

Cell Phone:<br />

PART II: Graduate Courses Offered in Candidacy for this Degree<br />

Course Number Course Title Credit-hours Trimester/Year<br />

<strong>of</strong> Completion<br />

OCCT 701 Ethics, Policy and<br />

3<br />

Leadership in<br />

<strong>Occupational</strong><br />

<strong>Therapy</strong><br />

BIOL 701/702 Gross Anatomy I<br />

4<br />

with lab<br />

BIOL 706/707 Physiology <strong>of</strong><br />

4<br />

Disease I with lab<br />

PHYT 705/OCCT Movement<br />

3<br />

706<br />

Analysis I with lab<br />

Grade<br />

BIOL 711/712 Gross Anatomy<br />

4<br />

II with lab<br />

BIOL 716 Physiology <strong>of</strong><br />

4<br />

Disease II<br />

PHYT 715/OCCT Movement<br />

3<br />

716<br />

Analysis II with<br />

lab<br />

OCCT 720 Theories <strong>of</strong><br />

3<br />

Occupation<br />

BIOL726 Neuroscience 4<br />

OCCT 725 Seminar in<br />

<strong>Occupational</strong><br />

<strong>Therapy</strong><br />

1

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