Occupational Therapy Fieldwork Application Form

Streamline Your OT Fieldwork Placement Process with Paperform

Finding the right occupational therapy fieldwork placement is a critical step in becoming a licensed practitioner. Whether you're a university program coordinating hundreds of student placements or a clinical site managing incoming fieldwork applications, you need a system that captures essential competencies, preferences, and qualifications efficiently.

This Occupational Therapy Fieldwork Application Form template is designed specifically for OT academic programs, fieldwork coordinators, and clinical sites accepting Level I and Level II fieldwork students. It replaces scattered email threads, PDF applications, and manual tracking with a single, professional form that collects everything you need to make informed placement decisions.

What Makes This Template Essential for OT Programs

Traditional fieldwork applications often miss critical information or require multiple back-and-forth emails to clarify student competencies and preferences. This template solves that by capturing:

• Clinical competency assessments including activity analysis skills, therapeutic communication, and assessment proficiency
• Assistive technology knowledge across mobility aids, ADL equipment, cognitive supports, and environmental modifications
• Evidence-based practice examples that demonstrate critical thinking and research application
• Setting and population preferences to ensure optimal learning environments and student success
• Professional readiness indicators including background checks, immunizations, CPR certification, and malpractice insurance
• Scheduling availability and transportation needs for realistic placement planning

By collecting structured, standardized information upfront, fieldwork coordinators can match students to appropriate sites more quickly, and clinical supervisors can prepare meaningful learning experiences tailored to each student's developmental level.

Perfect for Healthcare Education and Professional Development

This form template serves multiple stakeholders in the occupational therapy education ecosystem:

Academic OT Programs can customize the form for their specific curriculum requirements, accreditation standards, and institutional policies. The conditional logic allows you to show different questions for Level I versus Level II students, ensuring you gather developmental-stage-appropriate information.

Clinical Sites and Fieldwork Educators can use this to screen incoming student applications, assess readiness, and identify students whose learning goals align with the site's clinical focus and available supervision resources.

Students benefit from a clear, organized application process that helps them articulate their competencies, reflect on their learning needs, and communicate their professional goals effectively.

Automate Your Fieldwork Coordination Workflow

Paperform's native integrations and automation capabilities make this more than just a data collection tool. You can connect your fieldwork application form to your existing systems:

• Sync to Google Sheets or Airtable to maintain a master database of all applicants with filtering and tracking capabilities
• Send custom confirmation emails that include next steps, required documentation checklists, and timeline expectations
• Use Stepper workflows to automatically route applications to appropriate reviewers, send reminder emails for missing documentation, and update your student information system
• Generate automated reports summarizing applicant competencies, preferences, and placement needs for matching decisions

For programs managing large cohorts, these automations save dozens of hours each semester and reduce the risk of missing critical compliance requirements.

Evidence-Based Practice Meets Modern Technology

The form includes dedicated sections for students to describe evidence-based practice applications, demonstrating their ability to integrate research into clinical reasoning—a core competency for occupational therapy practice. By requiring specific examples with population, intervention, and outcome details, you're assessing critical thinking skills that predict fieldwork success.

The assistive technology knowledge section recognizes the growing importance of technology in OT practice, allowing students to showcase their familiarity with everything from low-tech adaptive equipment to high-tech AAC devices and smart home modifications.

Compliance and Professional Standards Built In

Fieldwork placements require extensive documentation for liability, accreditation, and patient safety. This template includes fields for all standard requirements:

• Background check status and completion dates
• Immunization records and health screening compliance
• Professional liability insurance coverage
• CPR/First Aid certification validity
• HIPAA and confidentiality training completion
• University affiliation verification

Having this information collected systematically means clinical sites can quickly verify student readiness, and academic programs can track compliance across their entire cohort.

Customizable for Your Program's Unique Needs

Every OT program has specific curriculum requirements, evaluation tools, and placement procedures. Paperform's document-style editor makes it simple to:

• Add your institution's logo and branding for a professional appearance
• Modify fieldwork competency categories to match your curriculum framework
• Include program-specific evaluation forms or learning contracts
• Adjust setting options to reflect your established clinical partnerships
• Add file upload fields for resumes, learning objectives, or faculty recommendations

You can also use conditional logic to create different pathways for domestic versus international students, or show additional questions based on specialty area interests.

Integration with Electronic Health Records and Student Systems

Many healthcare organizations require fieldwork students to complete additional onboarding in their systems. Using Paperform's webhook functionality or Stepper automations, you can push approved applicant information directly into:

• Electronic health record training platforms
• Facility access and badge systems
• Student tracking and competency management software
• Background check and compliance verification services

This eliminates duplicate data entry and ensures information flows seamlessly from application through placement.

Supporting the Next Generation of OT Practitioners

Fieldwork education is where occupational therapy students develop clinical reasoning, professional identity, and hands-on skills that will serve them throughout their careers. By streamlining the application and placement process with this professional, comprehensive form template, you're ensuring students can focus on learning rather than administrative friction.

Whether you're placing 20 students per year or 200, this template gives you the structure, automation, and professionalism that modern OT programs demand—without requiring any coding or technical expertise.

Get started with this Occupational Therapy Fieldwork Application template today and create a fieldwork coordination process that supports student success from application through clinical competency achievement.