Occupational Therapy Assistant - Application for Entry This application is to be submitted by the deadline posted on the webpage. Application InformationPlease indicate which semester you are applying:(Required) First-time Entry - Fall 2023 - First semester Level I OTA Core Courses Re-entry - Fall 2023 - First semester Level I OTA Core Courses Re-entry - Fall 2023 - First semester Level II OTA Core Courses If you are not certain, please contact the OTA Program Office at 575-624-7266Re-Entry Information*Note: Students may be required to re-take and/or audit courses.What was your Academic Standing at the time and the circumstances surrounding your OTA course withdrawal and/or failure? What actions have you taken to improve your academic success should you enter/re-enter this OTA program? Have the circumstances noted above changed or been resolved? Requirements ChecklistRequired Information - Checklist ALL Official High School (or GED/HiSET) Transcripts ALL Official College Transcripts Regular Application for Admission to ENMU-Roswell Evidence of Good Standing with the University (Academic and Financial) One-page paper "Why do I want to become an Occupational Therapy Assistant?" Must attend an Interview with OTA Program Faculty It is the Student's Responsibility to see that all of the listed information is on file with the Office of Admissions & Records by the OTA application deadline. Student InformationName(Required) First Middle Last Student ID(Required) Social Security Number Email(Required) Race(Required)SelectAmerican Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhiteUnknown / No ResponseEthnicity(Required)SelectWhite, Non-HispanicBlack/African American, Non-HispanicHispanicAmerican Indian / Alaska NativeAsian or Other Pacific IslanderUnknown / No ResponseGender(Required)SelectFemaleMaleGender Identity(Required)SelectDecline to AnswerFemaleMaleNon-binaryTransgender ManTransgender WomanOtherAddress(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Home Phone NumberCell Phone Number(Required)Work Phone NumberPlace of Employment Emergency Contact(Required) Name & RelationshipEmergency Contact Phone Number(Required)Attachments"Why do I want to become an Occupational Therapy Assistant?"(Required)Accepted file types: pdf, doc, docx, jpg, png, Max. file size: 2 MB.One-page paperStudent SignatureStudent Signature(Required)Note: GPA is calculated on all required OTA degree plan courses up to the desired level of admission/readmission. An overall 2.5 or higher GPA is required. The Occupational Therapy Assistant Program is accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) of the American Occupational Therapy Association (AOTA), located at 4720 Montgomery Lane, Suite 200, Bethesda, MD 20814-3449. ACOTE’s telephone number, c/o AOTA, is 301-652-AOTA. Web address is http://www.acoteonline.org
