Occupational Therapy Assistant App

Year*

Enter the entry year you are applying for ie., 2022, 2023 etc. Southwest OTA accepts students beginning each fall term.

Name*

First Last

Address*

PO Box if applicable Street Address City State ZIP Code

Please provide your mailing address here, and verify that your mailing address is correct in the Student Information System. Complete a “Change of Address Form” in the Admissions Office if the SIS address is incorrect.

Student ID*

7 digit EmplID

Phone*

Email*

Domicile*

Select the county or jurisdiction in which you have lived during the last consecutive 12 months?

SWCC: Buchanan, Dickenson, Tazewell, Russell

Virginia jurisdiction other than counties listed above

Out of State

Colleges or Universities Attended*

Please list all colleges previously attended, last year attended, and academic standing. (Good standing, probation, suspended or dismissed)

High School or GED Transcripts*

I have previously submitted official high school/home school/GED transcripts to SWCC Admissions. (Official transcripts are required by the February 15th deadline.)

Yes

College Transcripts*

I have previously submitted official college transcripts to SWCC Admissions. (Official transcripts are required by the February 15th deadline.)

Yes

Pre-requisites must be completed by the February 15th application deadline. Transcripts verifying grades/GPA must be submitted to Admissions.

Chemistry*

I have completed high school level chemistry (or CHM 05 or CHM 111 or BIO 141/142) with lab with an earned grade of “C” or better.

Yes

Biology*

I have completed high school level biology (or BIO 20 or BIO 101 or BIO 141/142) with lab with an earned grade of “C” or better.

Yes

Math*

I have demonstrated competency in Math (proficiency in Math Modules MTE 1-6 or completion of MTH 151 or higher) via VPT scores or means and measures identified in Multiple Measures Placement Policy.

Yes

English*

I have demonstrated competency in English (place into ENG 111 or completion of ENG 111) via VPT scores or means and measures identified in Multiple Measures Placement Policy.

Yes

GPA*

I have an earned cumulative GPA of 2.5 or higher. (Based on last school attended whether HS or college, with at least 12 credits completed.)

Yes

Acknowledgement of Reciprocity Statement: Pursuant to United States Department of Education (US DOE) regulation 34 CFR 668.43 (a) (5) (v), the Southwest Virginia Community College Associate Degree in Occupational Therapy Assistant program provides the following information for all prospective and current students:

The Occupational Therapy Assistant Program at Southwest Virginia Community College is accredited by the Accreditation Council for Occupational Therapy Education (ACOTE®) of the American Occupational Therapy Association (AOTA), located at 4720 Montgomery Lane, Suite 200, Bethesda, MD 20814-3449. ACOTE’s telephone number c/o AOTA is 301-652-AOTA. ACOTE can be found online at www.acoteonline.org.
Upon graduation, students will be eligible to sit for the national certification examination for the occupational therapy assistant administered by the National Board for Certification in Occupational Therapy (NBCOT). After successful completion of this exam, the individual will be a Certified Occupational Therapy Assistant (COTA).
In addition, most states require licensure in order to practice; however, state licenses are usually based on the results of the NBCOT Certification Examination. Note that a felony conviction could affect a graduate’s ability to sit for the NBCOT certification examination or attain state licensure.
SWCC is regionally accredited by the Southern Association of Colleges and Schools Commission on Colleges (SACSCOC).
LICENSURE RECIPROCITY

I request that my name be placed in consideration for admission to the Occupational Therapy Assistant program for the academic year.

I understand that I must submit my completed OTA Job Shadowing Form to the Program Director.
I understand that I must submit an application/reapply for each year I wish to be considered.
I understand that I must complete (with a grade of “C” or better) all prerequisites and I must meet all admission requirements in order to be eligible for consideration.
I have read and understand the residency requirements as well as the Occupational Therapy Assistant Application Process information.
I understand that first priority for acceptance will be given to applicants who reside within the service region of SWCC. Secondary priority will be given to Virginia residents outside of those counties, and then out-of-state applicants
I also understand that if I do not have all required documents submitted with this application and have all requirements met by the deadlines specified, processing of my OTA application will be suspended.

Name

First Last

Date

OTA Application