RUTGERS UNIVERSITY OCCUPATIONAL THERAPY PROGRAM

Level II In-Service Assignment

Student Name:
Name of Facility:
Fieldwork Educator:
Date(s) of Presentation:
Title of Presentation:

Student In‐service Assignment:

During the Level II fieldwork experience, the student is required to present an in‐service and/or
project for the fieldwork site. The student is required to collaborate with their Fieldwork
Educator and/or staff to determine what type of in‐ service and/or project would best benefit
the needs of the site. The in‐service must be at least 15 minutes long, be relevant to the
profession of occupational therapy and have at least three sources of supporting evidence. If
you would like suggestions for Level II fieldwork project assignments, please contact the
Academic Fieldwork Coordinator.

Criteria: Exceeds Meets Did not Meet

Expectations Expectations Expectations

5 Points 3 points 0 points

Student collaborated with Fieldwork Educator and/or staff to determine
needs assessment
Assignment was relevant and evidence-based
Assignment was well thought out, planned and implemented
Student presented the information in an organized and clear manner
Student delivered presentation in a professional manner (eye contact,
elocution, vocabulary, enthusiasm)
Student was able to answer audience questions and was knowledge on in-
service topic
Assignment included at least 3 sources of scholarly literature as supporting
evidence
Additional Comments:

Fieldwork Educator Signature: Date:

OT Student Signature Date: