Department of Occupational Therapy
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Eastern Kentucky University

Fieldwork Education

Elaine Fehringer, Academic Fieldwork Coordinator
Office: 106 Dizney Building
Phone: (859) 622-2281
Office Hours: By appointment

Fieldwork Educators
Please review the OT Curriculum Design Tutorial before completing the AOTA Fieldwork Data Form.



The American Occupational Therapy Association’s Fieldwork Data Form

is available online as a Word file at:

http://www.aota.org

This is a Word file and it can be downloaded, filled in on your computer

and returned as an email attachment. Send the completed form to:

Elaine.Fehringer@eku.edu.

If preferred, the file can be downloaded, printed, filled in by hand, and mailed.

AOTA FIELDWORK DATA FORM
(PDF file)


AOTA FIELDWORK DATA FORM
(Microsoft Word file)

Send the completed form to the mailing address below:

Elaine Fehringer, Academic Fieldwork Coordinator

103 Dizney Building

Department of Occupational Therapy

Eastern Kentucky University

Richmond, KY 40475 -3102

(859)622-2281

Julie Baltisberger, Fieldwork Coordinator Assistant

(859) 622-6303

Sarah Velthouse, Fieldwork Office Manager

(859)622-5935

AOTA’s Fieldwork Education page has lots of resources.

Check it out!

http://www.aota.org


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EKU Department of Occupational Therapy
521 Lancaster Avenue
103 Dizney
Richmond, KY 40475
tel: (859) 622-3300
fax: (859) 622-1601