Information for Fieldwork Facility Partners

New Partnerships

There are specific processes for fieldwork site selection that are required to ensure facilities meet the criteria set forth by CPCC's OTA program and ACOTE.


In collaboration with the OTA Program Academic Fieldwork Coordinator (AFWC), each facility must complete the following:

  • Fieldwork Data Form (Note: If you take both Level I and Level II students, you will need to complete the Level II data form ONLY)
  • Site Specific Objectives - This is an optional addition to the objectives specific to the CPCC OTA course (see Objectives Acknowledgement Forms)

Current Affiliations

Maintenance of current fieldwork partnerships requires up-to-date:

  • Fieldwork Data Form (Note: If you take both Level I and Level II students, you will need to complete the Level II data form ONLY)
  • Objectives
    • Site Specific Objectives - This is an optional addition to the objectives specific to the CPCC OTA course (see Objectives Acknowledgement Forms)

Each time a student is placed at a facility, the following forms must be completed:

    • Fieldwork Educator Information Sheet - for each clinician who has a fieldwork student.  This form should be updated once a year, but if an educator takes multiple students in one year, only one form is necessary.

      If you are able to take a Level I or Level II student in 2017, please complete this google slot request form.