University of Kansas

UNIVERSITY OF KANSAS DEPARTMENT OF HEALTH, SPORT, AND EXERCISE SCIENCES

APPLICATION FOR GRADUATE TEACHING AND RESEARCH ASSISTANTSHIPS

Name KUID

Present Address Social Security

Permanent Address Phone

Duration of your availability: from to

Degree sought: M.S.E. Specialization Area:

Ph.D. Specialization Area:

Undergraduate degree earned from overall GPA

Graduate degree earned from overall GPA

PREVIOUS EXPERIENCE

 Teaching Health and/or Physical Education

 Laboratory experience in Exercise Physiology, Kinesiology, Perceptual Motor Development

 Other work related to any of the above

 Research experience

 Publication, Scholarly presentations Review the following list of activity courses. Place a check in the first column if you can teach at a basic level, and check the second column if you can teach at the intermediate level.

VI. List certifications or licenses you’ve earned I. Skill Instruction in: (Aerobics, Aquatics, First Aid, etc.) Basic Int. Aerobics (certification preferred) Aerobics Kick Boxing Aerobic Water Exercise Aerobic Zumba Basketball Disk Golf Golf Judo Lifesaving (WSI required) Jogging, Marathon &10 K Training VII. List sports you’ve coached (Grades 7-12 Phys Conditioning, Body Toning or college) Racquetball Spinning Swimming (WSI preferred) Tae Kwon Do Tennis Ultimate Frisbee Volleyball, Sand Volleyball Weight Training Yoga

II. Physical Education Officiating/Coaching Basketball VIII. Assignment – Indicate the amount of time Coaching Football you will be available to work: Coaching Softball 50% (20 hrs per week) Coaching Volleyball 40% (approx 15 hrs per week) Team Sports 30% (approx 12 hrs per week) Individual & Dual Sports 25% (approx 10 hrs per week)

III. Health Education First Aid IX. List (in order) your preference for Personal & Community Health teaching/lab assignments: Nutrition Peer Health Education 1. Drug Education Health Administration 2. Human Sexuality Diseases 3.

IV. Exercise Science 4. Intro to Exercise Science Fitness Evaluation Techniques 5. Phys Fitness Training 6. V. Laboratories Please check the laboratory areas in which you have experience: Exercise Physiology Fall, 2008 Biomechanics (Kinesiology) Perceptual Motor Development