Memorial Hermann SM&R Occupational Therapy Hand Fellowship Application
Application Deadline: August 1
OT Fellow Applicant
Application Fee $ 50.00
Registration Information
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Last Name
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Are you currently licensed to practice occupational therapy in the State of Texas?
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Yes
No
Please enter Texas OT License Number
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Are you eligible for licensure in the State of Texas?
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Yes
No
Are you currently a member of AOTA?
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Yes
No
AOTA Member Number
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Educational Background
a. What is your highest Academic degree
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b. If you completed a Master's degree or higher, was an independent research project required?
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Yes
No
Resume/CV
Please upload your typed Professional Resume/Curriculum Vitae. Please include academic history, previous work history, field work experience and certifications.
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Please provide a valid file format
Reflective Essays
Please provide typed responses to the questions below in a separate document. Please limit responses to 300 words per question.
1. How did you become interested in hand therapy?
2. What do you wish to gain through participation in the hand therapy fellowship program at Memorial Hermann?
3. Discuss aspects of your background and professional experience that particularly qualify you for participation in a fellowship program.
4. What challenges do you anticipate with your involvement in the fellowship program?
5. Describe your professional goals 3-5 years from now.
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Please provide a valid file format
Applicant Evaluations
Please provide the following information for the individuals to whom you have sent the recommendation links:
Name, Phone Number, Email Address
Recommendation 1
Recommendation 2
Recommendation 3
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