Status at Misericordia
Years of Experience in Occupational Therapy
Student entry level
Pediatrics List years
Adults List years
Employment Experience Please enter name and venue of health care related employment within the last 3 years
Date of expiration Copy of active passport must be provided with deposit
Brief Essay-in two-three paragraphs, please briefly explain to us your desire to participate in this course, what you think you will gain professionally and personally, and what your strengths are as they would support participation in this course.
Travel Experience-Travel experience outside of the United States is preferred but not mandatory. Please list below any relevant travel experiences, including reason for travel, location, and approximate length of stay. List only experiences which may apply to this trip.