L&C OTA Program - Application Recommendation Form
Students in the Occupational Therapy Assistant (OTA) Program will develop an understanding of the health needs, both physical and emotional, of individuals in our society and prepare to work with people whose abilities to cope with the tasks of life are threatened or impaired by developmental deficits, the aging process, physical injury or illness, and psychological or social disabilities.

The individual who requested you fill out this recommendation form is applying to be a student in the OTA Program at Lewis and Clark Community College. We appreciate your time and support of the student in their academic journey.
 
Please email dwitsken@lc.edu with additional questions or comments.
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Applicant Name: *
To the Recommender:
The above-named applicant has applied to the Occupational Therapy Assistant (OTA) Program at Lewis and Clark Community College (L&C). In order to give the Admissions Committee as complete a profile of the applicant as possible, please respond to the following questions:
How long have you known the applicant and in what capacity? *
Please rate the applicant on the following skills: *
Above Average
Average
Below Average
Unknown
Academic Potential
Ability to Solve Problems
Ability to Relate with People
Maturity
Good Judgment
Creativity
Ability to Express Ideas Verbally
Ability to Express Ideas in Writing
What do you consider to be this applicant’s major strengths? *
What do you consider to be this applicant’s major weaknesses? *
Please comment on this applicant’s capabilities to be an Occupational Therapy Assistant. *
Additional Comments
Recommender's Name: *
I  certify that the name listed as the Recommender above completed this Recommendation Form. *
Recommender's Contact Information: (Email and phone number) *
Recommender's Title: *
Date: *
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