For Admissions use only.
Received By:_________
Return this form to:
Date:__________________
Admissions Registration, and Records, Wynn Center (Building 10), room 10-201
Durham Technical Community College
Occupational Therapy Assistant (OTA) Associate Degree Program
First Name__________________________________ Last Name_________________________________
Durham Tech Student ID Number _____________________________ Date _________________________
ConnectMail* Email Address: ________________________________________________________
*NOTE: All official communication from the college is delivered via ConnectMail, including Health Technology admissions
decisions.
APPLICATION DEADLINE: November 13, 2020
Submit completed paper application packets to Admissions, Registration, and Records (Building 10, room 201)
beginning September 14 through November 13. Questions? Email Donna Alston
No Faxed or Emailed applications accepted
CHECKLIST: All steps below are required. Please initial that each item is completed.
Enroll at Durham Technical Community College
View College enrollment steps on the website.
______ I am currently admitted to Durham Tech.
Note: If you have not been enrolled with Durham Tech within the last 12 months, you must reapply to
Durham Tech using the CFNC application
.
______ I have submitted an official transcript(s) from high school or college.
Submit to Admissions, Registration, and Records, located in Wynn Center (Building 10), room 10-201
______ I have applied for Financial Aid (recommended but not required).
______ I have attended a ConnectSession (Student orientation)
Note: Prospective students with 12 or more college credit hours transferred to Durham Tech are not
required to attend a ConnectSession, but it is recommended.
______ I have attended an Occupational Therapy Assistant information session within the past 2 years.
Date: ___________________
Meet Course Placement Requirements
Students must demonstrate they are college ready in one of the following ways (initial one):
______ Provide proof of unweighted US high school GPA of 2.8 or higher within the last ten years
______ Transfer credit for English and math (college-level algebra)
______ Provide proof of completion of an associate’s or bachelor’s degree
______ Provide proof of satisfactory scores on ACT, SAT, GED, HiSET, NCDAP, COMPASS, ASSET, or ACCUPLACER
scores within the last ten years
______ Demonstrate mastery on RISE English placement test 2 and RISE Math placement test 2; OR successfully
complete ENG-002 through Tier 2 (grade of P2) and MAT-003 through Tier 2 (grade of P2)
Revised 2/2019 Page 1 of 2
Meet Natural Sciences Requirement*:
Students must demonstrate readiness for BIO 168 Anatomy and Physiology I in one of the following
ways (initial one):
______
Provide proof of completing high school biology and chemistry within the last 10 years with a grade of
C (70%) or above
______ Complete CHM 094 Basic Biological Chemistry
______ Complete college biology and chemistry (both including a lab). Must show a grade of C (70%) or above in the
lecture and lab (no time limit).
*Students who transfer in BIO 168 are not required to meet one of the above requirements
Additional Required Documents:
Students must provide all of the documents listed below with the completed application:
______ I have attached a copy of the ATI TEAS test score showing I have achieved the minimum score requirement
of 58.7% on the adjusted individual score within the last 3 years. Important: If you took the TEAS test at
another institution, attach your scores from ATI to your application form.
______ I have attached a signed Clinical Training Form (download from Health Technologies admission steps
)
______ I have attached a signed English Language Requirement Form (download from Health Technologies
admission steps)
______ I have attached a signed Essential Skills Form (download from the program web page)
______ I have attached a signed Technology Proficiency Form (download from the program web page)
Statement of Student Responsibility
I verify that I have read all the information regarding admissions to the Occupational Therapy Assistant program, and
understand the steps I must take to qualify for admissions. I understand that it is my responsibility to notify the Student
Information and Records office regarding changes in name, address, or phone number through eForms.
I understand that all official communication from the college is delivered via ConnectMail, including Health Technology
admissions decisions.
I understand that my Occupational Therapy Assistant application will not be accepted unless everything is completed.
I understand that students who register for Occupational Therapy Assistant classes after acceptance into the program
and then withdraw before classes begin or during the first semester will be given the opportunity to apply ONLY ONCE
MORE.
Note: Once an applicant has accepted a seat within the Occupational Therapy Assistant program, this is considered their
first admittance. Students are only allowed to be accepted into the Occupational Therapy Assistant program twice (this
also applies to returning students only allowed to return once).
Name
________________________________________ Student ID#______________________
Signature ________________________________________ Date____________________________
Revised 2/2019 Page 2 of 2
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