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Fieldwork Office & Community Partners


For Fieldwork Educators:

Site Alignment with Curriculum Design Form fillable document restricted access.pdf

Thank you for viewing the Curriculum design module that describes the EKU Occupational Therapy Curriculum Program.  Filling out the editable PDF document above will take you about 20 minutes to complete. This helps the Fieldwork Office understand the learning opportunities your site offers that align with our curriculum design.  If using Internet Explorer the document will open in edit mode allowing you to type directly into it. If using Mozilla Firefox the document must be downloaded before allowing you to type directly into it. Please fill it out, save it, and then email it to Miranda Gay as an attachment:

Camille Skubik-Peplaski, PhD, OTR/L, BCP, FAOTA, Academic Fieldwork Coordinator
Assistant Professor
Department of Occupational Science and Occupational Therapy
103 Dizney Building, 521 Lancaster Avenue
Richmond, KY 40475
Telephone: 859-622-2281
Fax: 859-622-1601
Office Hours: By appointment

Casey Humphrey, MHA, OTR/L, CBIS, CDRS, Clinical Instructor/Fieldwork Coordinator
Fax: 859-622-1601

Miranda Gay, Administrative Assistant I
Fax: 859-622-1601

The AOTA Fieldwork Data Form is available here:
AOTA Fieldwork Data Form - 2017

This is an editable PDF file that must be downloaded if using Mozilla Firefox before it can be typed into, if using Internet Explorer it opens ready to be edited. Return, completed form as an email attachment to:


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