{"id":2174,"date":"2019-09-30T14:18:27","date_gmt":"2019-09-30T18:18:27","guid":{"rendered":"https:\/\/sw.edu\/health-technology\/?page_id=2174"},"modified":"2026-01-27T16:43:55","modified_gmt":"2026-01-27T16:43:55","slug":"occupational-therapy-assistant-app","status":"publish","type":"page","link":"https:\/\/sw.edu\/health-technology\/occupational-therapy-assistant-app\/","title":{"rendered":"OTA Application"},"content":{"rendered":"\n<p class=\"has-gold-background-color has-background\"><strong>Applications for the Occupational Therapy Assistant 2026-2027 program year received AFTER the March 15 application date will be accepted but marked as late applications.<\/strong> Applications submitted after March 15 may be considered for 2026-2027 if space is available; otherwise, those applications will be considered for admission for the 2027-2028 academic year.<\/p>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<script 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gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_7'  action='\/health-technology\/wp-json\/wp\/v2\/pages\/2174' data-formid='7' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_7' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_7_55\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_55'>Facebook<\/label><div class='gfield_description' id='gfield_description_7_55'>This field is for validation purposes and should be left unchanged.<\/div><div class='ginput_container'><input name='input_55' id='input_7_55' type='text' value='' autocomplete='new-password'\/><\/div><\/div><div id=\"field_7_47\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_47'>Year<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_7_47'>Enter the four-digit entry year you are applying for ie., 2026, 2027 etc. Southwest OTA accepts students beginning each fall term.<\/div><div class='ginput_container ginput_container_text'><input name='input_47' id='input_7_47' type='text' value='' class='medium'  aria-describedby=\"gfield_description_7_47\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_7_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_7_1'>\n                            \n                            <span id='input_7_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_7_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_7_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_7_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_7_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_7_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_7_2\" class=\"gfield gfield--type-address gfield--input-type-address gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_7_2' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_7_2_1_container' >\n                                        <input type='text' name='input_2.1' id='input_7_2_1' value=''    aria-required='true'    \/>\n                                        <label for='input_7_2_1' id='input_7_2_1_label' class='gform-field-label gform-field-label--type-sub '>PO Box if applicable<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_7_2_2_container' >\n                                        <input type='text' name='input_2.2' id='input_7_2_2' value=''     aria-required='false'   \/>\n                                        <label for='input_7_2_2' id='input_7_2_2_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_7_2_3_container' >\n                                    <input type='text' name='input_2.3' id='input_7_2_3' value=''    aria-required='true'    \/>\n                                    <label for='input_7_2_3' id='input_7_2_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_7_2_4_container' >\n                                        <select name='input_2.4' id='input_7_2_4'     aria-required='true'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' selected='selected'>Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_7_2_4' id='input_7_2_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_7_2_5_container' >\n                                    <input type='text' name='input_2.5' id='input_7_2_5' value=''    aria-required='true'    \/>\n                                    <label for='input_7_2_5' id='input_7_2_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_2.6' id='input_7_2_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><div class='gfield_description' id='gfield_description_7_2'>Please provide your mailing address here, and verify that your mailing address is correct in the Student Information System. Complete a &#8220;Change of Address Form&#8221; in the Admissions Office if the SIS address is incorrect.<\/div><\/fieldset><div id=\"field_7_3\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_3'>Student ID<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_7_3'>7 digit EmplID<\/div><div class='ginput_container ginput_container_text'><input name='input_3' id='input_7_3' type='text' value='' class='medium'  aria-describedby=\"gfield_description_7_3\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_4\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_4'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_4' id='input_7_4' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_5\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_5'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_7_5' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_7_6\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Domicile<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_7_6'>Select the county or jurisdiction in which you have lived during the last consecutive 12 months?<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_6'>\n\t\t\t<div class='gchoice gchoice_7_6_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='Southwest: Buchanan, Dickenson, Tazewell, Russell'  id='choice_7_6_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_7_6\"   \/>\n\t\t\t\t\t<label for='choice_7_6_0' id='label_7_6_0' class='gform-field-label gform-field-label--type-inline'>SWCC: Buchanan, Dickenson, Tazewell, Russell<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_6_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='Virginia jurisdiction other than counties listed above'  id='choice_7_6_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_6_1' id='label_7_6_1' class='gform-field-label gform-field-label--type-inline'>Virginia jurisdiction other than counties listed above<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_6_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='Out of State'  id='choice_7_6_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_6_2' id='label_7_6_2' class='gform-field-label gform-field-label--type-inline'>Out of State<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_7_46\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_46'>Colleges or Universities Attended<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_7_46'>Please list all colleges previously attended, last year attended, and academic standing. (Good standing, probation, suspended or dismissed)<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_46' id='input_7_46' class='textarea medium'  aria-describedby=\"gfield_description_7_46\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_7_21\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >High School or GED Transcripts<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_7_21'>I have previously submitted official high school\/home school\/GED transcripts to SWCC Admissions. (Official transcripts are required by the February 15th deadline.)<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_21'>\n\t\t\t<div class='gchoice gchoice_7_21_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='Yes'  id='choice_7_21_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_7_21\"   \/>\n\t\t\t\t\t<label for='choice_7_21_0' id='label_7_21_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_21_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='No'  id='choice_7_21_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_21_1' id='label_7_21_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_23\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >College Transcripts<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_7_23'>I have previously submitted official college transcripts to SWCC Admissions. (Official transcripts are required by the February 15th deadline.)<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_23'>\n\t\t\t<div class='gchoice gchoice_7_23_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='Yes'  id='choice_7_23_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_7_23\"   \/>\n\t\t\t\t\t<label for='choice_7_23_0' id='label_7_23_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_23_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='No'  id='choice_7_23_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_23_1' id='label_7_23_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_7_40\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><strong>Prerequisites must be completed by the application deadline. Transcripts verifying grades\/GPA must be submitted to Admissions.<\/strong><\/div><fieldset id=\"field_7_43\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Chemistry<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_7_43'>I have completed high school level chemistry (or CHM 05 or CHM 111 or BIO 141\/142) with lab with an earned grade of &#8220;C&#8221; or better. <\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_43'>\n\t\t\t<div class='gchoice gchoice_7_43_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='Yes'  id='choice_7_43_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_7_43\"   \/>\n\t\t\t\t\t<label for='choice_7_43_0' id='label_7_43_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_43_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='No'  id='choice_7_43_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_43_1' id='label_7_43_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_44\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Biology<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_7_44'>I have completed high school level biology (or BIO 20 or BIO 101 or BIO 141\/142) with lab with an earned grade of &#8220;C&#8221; or better.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_44'>\n\t\t\t<div class='gchoice gchoice_7_44_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='Yes'  id='choice_7_44_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_7_44\"   \/>\n\t\t\t\t\t<label for='choice_7_44_0' id='label_7_44_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_44_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='No'  id='choice_7_44_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_44_1' id='label_7_44_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_49\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Math<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_7_49'>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.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_49'>\n\t\t\t<div class='gchoice gchoice_7_49_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='Yes'  id='choice_7_49_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_7_49\"   \/>\n\t\t\t\t\t<label for='choice_7_49_0' id='label_7_49_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_49_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='No'  id='choice_7_49_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_49_1' id='label_7_49_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_45\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >English<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_7_45'>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.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_45'>\n\t\t\t<div class='gchoice gchoice_7_45_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_45' type='radio' value='Yes'  id='choice_7_45_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_7_45\"   \/>\n\t\t\t\t\t<label for='choice_7_45_0' id='label_7_45_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_45_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_45' type='radio' value='No'  id='choice_7_45_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_45_1' id='label_7_45_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_7_50\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >GPA<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_7_50'>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.)<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_50'>\n\t\t\t<div class='gchoice gchoice_7_50_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='Yes'  id='choice_7_50_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_7_50\"   \/>\n\t\t\t\t\t<label for='choice_7_50_0' id='label_7_50_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_7_50_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='No'  id='choice_7_50_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_7_50_1' id='label_7_50_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_7_54\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_54'>Upload TEAS Results<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_7_54'>Completion of TEAS test with minimum total score of 60 within the last 5 years.<\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='73728000' \/><input name='input_54' id='input_7_54' type='file' class='large' aria-describedby=\"gfield_upload_rules_7_54 gfield_description_7_54\" onchange='javascript:gformValidateFileSize( this, 73728000 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_7_54'>Max. file size: 70 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_7_54'><\/div> <\/div><\/div><div id=\"field_7_29\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><strong>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:<\/strong>\n<ul><li>The Occupational Therapy Assistant Program at Southwest Virginia Community College is accredited by the Accreditation Council for Occupational Therapy Education (ACOTE\u00ae) of the American Occupational Therapy Association (AOTA), located at 7501 Wisconsin Avenue, Suite 510E, Bethesda, MD 20814. ACOTE&#8217;s telephone number c\/o AOTA is 301-652-AOTA. ACOTE can be found online at www.acoteonline.org.<\/li><li>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). <\/li><li>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&#8217;s ability to sit for the NBCOT certification examination or attain state licensure. <\/li><li>SWCC is regionally accredited by the Southern Association of Colleges and Schools Commission on Colleges (SACSCOC).<\/li><li><a href=\"https:\/\/sw.edu\/health-technology\/wp-content\/uploads\/sites\/5\/2022\/03\/Licensure-Reciprocity.pdf\">LICENSURE RECIPROCITY<\/a><\/li><\/ul><\/div><fieldset id=\"field_7_52\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_52.1' id='input_7_52_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_7_52_1' >I understand the Occupational Therapy Assistant Program Reciprocity Statement above.<\/label><input type='hidden' name='input_52.2' value='I understand the Occupational Therapy Assistant Program Reciprocity Statement above.' class='gform_hidden' \/><input type='hidden' name='input_52.3' value='6' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_7_51\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><strong>I request that my name be placed in consideration for admission to the Occupational Therapy Assistant program for the academic year. <\/strong>\n<ul><li>I understand that I must submit my completed OTA Job Shadowing Form to the Program Director.<\/li><li>I understand that I must submit an application\/reapply for each year I wish to be considered.<\/li>\n<li>I understand that I must complete (with a grade of \u201cC\u201d or better) all prerequisites and I must meet all admission requirements in order to be eligible for consideration. <\/li>\n<li>I have read and understand the residency requirements as well as the Occupational Therapy Assistant Application Process information.  <\/li>\n<li>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  <\/li>\n<li>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. <\/li><\/ul><\/div><fieldset id=\"field_7_27\" class=\"gfield gfield--type-name gfield--input-type-name field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_7_27'>\n                            \n                            <span id='input_7_27_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_27.3' id='input_7_27_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_7_27_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_7_27_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_27.6' id='input_7_27_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_7_27_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_7_28\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_28'>Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_28' id='input_7_28' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_7_28_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_7_28_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_7_28' class='gform_hidden' value='https:\/\/sw.edu\/health-technology\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div 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