PREREQUISITE COURSE FORM (DUAL DEGREE APPLICANTS): SUBMIT WITH APPLICATION FOR ADMISSION

Completion of prerequisite courses is mandatory. Course numbers given are Kean course numbers which satisfy the requirement. Indicate the grade as it appears on your transcript, and the school where the course was completed. For those courses you are currently taking, indicate IP (in progress). For those courses you plan to take in the future, indicate the semester and school where you plan to take the course. Application forms will be delayed if this form is not completed accurately and in its entirety. Course Number Course Name Grade Credit School *Dept. & Course # Semester Completed/Will be Hours completed OT 2400 Kean * Bio 1000 Kean ** and Bio 2402 Kean **

Introduction to Occupational Therapy Principles of Biology Essentials of Human Physiology and Anatomy OR

Bio 3403 Kean ** and Bio 3404 Kean ** OR Bio Other School*** and Bio Other School*** Soc 1000 OR Anth 1800

Anatomy and Physiology I Anatomy and Physiology II

Physiology and Anatomy I Physiology and Anatomy II Intro to Sociology Cultural Anthropology

Psych 1000

General Psychology

Psych 3110

Life Span Developmental Psychology

Psych 3540

Abnormal Psychology

Psych 3200

Psychological Statistics

Chem 1030

Essentials of Chemistry

* ** *** ****

This course can only be taken at Kean University. Kean courses Bio 1000 and Bio 2402 OR Kean courses Bio 3403 and Bio 3403 satisfy the Anatomy and Physiology requirement. OR If taken at another institution, Anatomy and Physiology I and II with lab are required. If course was not taken at Kean University, please list the course number as it appears on your transcript.

Name of Applicant: ________________________________________________________________