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AOT: © The American Occupational Therapy ‘Assocation, Inc. Fieldwork Performance Evaluation For The Occupational Therapy Student ven Synth —Mkenzie. SIGNATURES: vale Ta a (WOOLEY | WAVE READ THs REPORT, Kawertty o¢ OT aq —___ oF COLLEGE OR UNIVERSITY 7 i. souervne FIELDWORK SETTING: nter ec TN oF ONGANEMTOVAOUTY OBEN OF FEISS CONTREUTINGTOTHS REPORT eS ite tg ———— 2 en vt Mi Bullard and Sim a Sune OF TER +— HomeAcace MA Gullard OTL ‘TYPE OF FIELDWORK PRINT NAMEJCREDENTIALS/POSITION T ORDER OF PLICEENTD2 3 4 OUTOF 2 a 4 os Shyfis DATES OF PLACEMENT NONGER OF HOURS COMPLETED we ¥/3f18 FINAL SCORE pass: _X SUMMARY COMMENTS: (ADDRESSES STUDENT'S CLINICAL COMPETENCE) Kerye Aes clene Lele en Aer Aavcctment anck ctiseharys sgt Aras red tag Kinger degyot shangeh No Pass: ts Ben Lut barcnd because of Vis, Veg aw wee yy ° “a spertlent, dhable (am at: a me sd ah sho utr Jt at. Wiel conctarssicl Ahest Trcesning | Harrys and 43 » ea Yeropatand an onlolarelay Wi ! Th Lbeuerba Tk, SG UTURE OF RATER 2 (F APPLICA) + evti 1[L. FAINT NAME;CREDENTIALS/POSTTION Ak, pubetuohe . Nen OT tvotuaten , qweeha lanmumg Aue sprgriorel crea tho beat V2 an be cues of OT Akela, clung ug ttetiuerd, and hum. Ner Patients fo week weet Aer. °Therapoeobie, pet propesdeonatian, weet bt an catotancling Oveupr tema Thewpat .

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