When applying to occupational therapy (OT) school, prospective students have options. You can apply directly to an OT program or use a centralized application service to apply to multiple programs with a single submission.

Whichever path you choose, a strong, well-prepared application can help you stand out in a competitive admissions process.

What Is OTCAS and How Does the OT School Application Process Work?

Prospective students can streamline the application process by using the Occupational Therapy Centralized Application Service (OTCAS). This centralized platform is especially helpful for students applying to multiple programs before deciding which OT program best aligns with their personal and professional goals.

To meet OTCAS requirements, applicants typically must submit:

  • Official transcripts
  • References, or letters of recommendation
  • Test scores, such as the Graduate Record Examination (GRE), if required
  • OT observation hours
  • A personal essay

Students may also choose to apply directly to an OT program. Application requirements are generally similar to those required through OTCAS, though specific criteria may vary by institution.

OT School Application Requirements: GPA, Prerequisites and GRE Scores

OT applications typically emphasize academic performance, including undergraduate grade point average. Transcripts demonstrate completion of required prerequisite courses, as well as additional coursework that may strengthen your application.

Some programs require the Graduate Record Examination (GRE), a standardized test administered by the Educational Testing Service. The GRE assesses readiness for graduate-level study, including skills related to critical thinking, problem-solving and writing.

While GPA and test scores are important, they are not the only factors admissions committees consider. Your personal essay provides an opportunity to highlight your interests, strengths and relevant coursework, particularly prerequisites and classes aligned with occupational therapy.

Letters of Recommendation for OT School: Who to Ask and What Matters Most

Letters of recommendation may come from professors, academic advisors, employers or volunteer supervisors. Strong letters highlight your strengths and explain why you are a good fit for an occupational therapy program.

Choose recommenders carefully and give them ample time to write thoughtful letters. Individuals who have worked closely with you and can speak to your growth, work ethic and interpersonal skills are often the strongest choices. Avoid asking someone who knows you only briefly or cannot provide specific examples of your abilities.

Is OT right for you?

Get the latest occupational therapy insights, career trends, and expert resources—delivered straight to your inbox.

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

OT Observation Hours: Requirements, Settings and How to Prepare

Most occupational therapy programs require 20 to 50 hours of observational shadowing as part of the application process. Typically, observation hours must occur across at least two practice settings, which may include:

  • Hospitals
  • Rehabilitation clinics
  • Private practice clinics
  • Schools
  • Community-based settings

How to Make a Strong Impression During OT Observation Hours

Observation hours must be verified by a supervising licensed occupational therapist. The supervising OT will document the practice setting, client population, dates and hours completed. In many cases, they will also comment on your professionalism and engagement during the experience.

Although observation hours are unpaid, treating them with the same professionalism as paid employment can significantly strengthen your application. Your goal is to demonstrate the professional skills that will help you succeed as a graduate student and future occupational therapist.

Best practices include:

  • Arriving on time and dressing appropriately for the setting
  • Respecting policies and procedures
  • Asking thoughtful questions at appropriate times
  • Demonstrating enthusiasm and professionalism throughout the experience

How OT Observation Hours Strengthen Your Application and Career Fit

A meaningful observation experience involves more than meeting minimum hour requirements. When possible, consider completing observation hours across a variety of settings. This approach not only strengthens your application but also exposes you to different client populations and practice models.

These experiences can help clarify which settings align with your interests and strengths. They also allow you to speak more confidently and authentically in your application and personal essay about your career goals in occupational therapy.

How to Write a Strong Personal Statement for OT School Applications

The personal essay allows you to showcase who you are beyond grades and test scores. A strong essay communicates your passion for occupational therapy, your career goals and how the profession aligns with your values and interests.

Consider addressing questions such as:

  • What sparked your interest in occupational therapy?
  • How do you envision your future OT career, such as working with children, older adults, teaching or conducting research?
  • How did your observation hours shape your understanding of the profession?
  • What strengths will help you succeed in a graduate or OTD program, such as time management, resilience or goal-setting?
  • What interests or activities outside academics help define who you are?

An effective essay is both professional and personal, offering admissions committees insight into your motivation and readiness for the field.

How to Build a Competitive Occupational Therapy School Application

Applying to occupational therapy school is more efficient than ever, whether through OTCAS or direct program applications. Regardless of the pathway, a competitive application reflects careful attention to academics, test scores, letters of recommendation, observation hours and a compelling personal essay.

Together, these components help tell your story and position you for acceptance into the OT program that best fits your goals.