* Indicates required fields.
Falsification or misuse of records and/or misrepresentation of facts on University forms and documents, including but not limited to, application forms, data sheets, ID cards, fee receipts, may result in disciplinary action and/or cancellation of registration. See Section 2.16 of Student Rights and Responsibilities: A Code of Student Behavior♂.
Official transcripts of high school or GED scores and all post high school education
must be submitted to the University Office of Admissions if they do not already have them.
It is the responsibility of the student to have a copy of all transcripts or
GED scores sent to the Occupational Therapy Assistant Program office by
and any official transcripts from post-secondary institutions sent to the Registrar’s
Office at the end of the fall semester.
Failure to submit transcripts may affect eligibility.
USI works to maintain a safe environment for all members of the University community.
The following questions will help us better maintain this environment.
If your answer is "Yes" to any of these questions, you will be asked to
provide additional information. Being convicted of a crime, pending criminal charges,
probation, suspension, dismissal or expulsion do not serve as an absolute bar to
admission, but will require additional evaluation.
*Must be taken with lab
By signing below I am verifying that all the above information is true and accurate to the best of my knowledge. I also authorize the Occupational Therapy Assistant Program Admission Committee to review and verify my application and academic records.
Please return this application and a copy of all required transcripts to:
Occupational Therapy Assistant Program Admissions
University of Southern Indiana
College of Nursing and Health Professions
8600 University Boulevard, HP 2068
Evansville, IN 47712
This completed form and copies of all transcripts must be submitted to the OTA Program
at USI. You must apply to the University of Southern Indiana before your application
to the OTA Program will be considered.
It is the policy of the University of Southern Indiana to be in full compliance with all federal and state non-discrimination and equal opportunity laws, orders and regulations relating to race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity, or veteran status. Questions or concerns should be directed to the Affirmative Action Officer, USI Human Resources Department, University of Southern Indiana, 8600 University Boulevard, Evansville, Indiana 47712.