The purpose of this exploratory study was to gather information on the experiences of occupational therapy students on Level II Fieldwork. Through semi-structured interviews and document review, data were collected to describe the experience and develop an understanding of what the students do and learn during the Level II Fieldwork and their perceptions of the experience in terms of developing into competent entry-level occupational therapists. The results revealed Level II Fieldwork continues to provide occupational therapy students the opportunity to integrate theory and practice in a mentored environment. Overall, it meets student expectations; they are learning to administer assessments, implement interventions, improve critical reasoning skills, and develop professional behaviors from their fieldwork educator. However, the results raised several issues regarding inconsistencies in the students' expectations, outside assignments, and professional roles. To improve and ensure a quality Level II Fieldwork experience, it is recommended occupational therapy academic educators, practitioners, and the professional organization join together to focus their time and resources to a discussion on Level II Fieldwork. Topics suggested for discussion include national fieldwork standards, professional education and certification for fieldwork educators.