Get State Technical College Of Missouri Verification Of Observation/job-related Experience

Completing the Verification Of Observation/Job-Related Experience form is essential for applicants to the Physical Therapist Assistant program at the State Technical College of Missouri. This guide will provide clear instructions on how to fill out the form correctly and efficiently online.

Follow the steps to complete your verification form online.

1. Press the ‘Get Form’ button to obtain the Verification Of Observation/Job-Related Experience form and open it in your online editor.
2. Fill in the applicant’s name in the designated field to identify who is seeking admission to the program.
3. Provide the supervisor’s name in the corresponding section, as this person will verify the observation or job-related experience.
4. Enter the name of the facility where the observation took place. This helps to accurately document the location of the experience.
5. Complete the address section with the facility's full address, ensuring that it includes city, state, and zip code to facilitate proper correspondence.
6. Input the facility phone number in the specified field for potential follow-up or verification purposes.
7. Select the type of physical therapy setting from the options provided, marking at least two different settings with a minimum of 10 hours in one. Options include outpatient, acute/inpatient/nursing home, home health, in-patient rehab, pediatrics/school, geriatrics, general neuro, general ortho, and general medical.
8. Choose the patient types that were observed during the experience. Make sure to note the specific capacities in which the applicant was involved.
9. Indicate whether the applicant served in a volunteer/observation or employee capacity and provide the date of observation.
10. Record the total hours spent observing or working within the physical therapy setting and any other relevant details or observations.
11. Optional: Include any comments about work readiness skills, characteristics, or qualifications observed that may be useful for the selection process.
12. Ensure the PT/PTA who supervised the applicant signs the form to certify that all provided information is accurate.
13. Complete the date field to indicate when the form was filled out.
14. Submit the completed form as instructed, ensuring it is sent to the specified address for the admissions office.

Start completing your verification form online today to ensure your application is processed smoothly.