Departmental Graduate Teaching Assistantship Application

Western Illinois University Department of Kinesiology Departmental Graduate Teaching Assistantship Application Application Process: Graduate students seeking to be considered for the Teaching Assistantship positions in the Department of Kinesiology must either be accepted into the Kinesiology Graduate Programs (i.e. Kinesiology and/or Sport Management) or have submitted application to the Kinesiology Graduate Programs. All application materials required for Kinesiology and/or Sport Management need to be submitted to the Graduate School at WIU prior to being considered for an assistantship. Only those applicants who are eligible and/or accepted as a Full Admission Status into the Kinesiology Graduate Programs (probationary admissions are not eligible) may be granted a teaching assistantship. This Departmental Graduate Teaching Assistantship Application needs to be returned directly to the Department of Kinesiology.

Full Name: Enter name

Permanent Address: Street address

City, State

Phone Number: Phone number

Email Address: Enter email

Undergraduate Degree: Enter degree

Undergraduate Degree GPA: Enter GPA

Desired Graduate Field of Study/Area of Emphasis: Choose an item.

Assistantship Semester/Year (for which you are applying): Enter Semester/Year

Section I: Work History Please include a detailed discussion of your previous work experiences within the field of kinesiology/ physical education/exercise science/ sport. Additionally, please include any relevant experiences as an undergraduate student that may be applicable to your teaching application (awards, internships, classroom teaching, coaching/ athletic experiences, etc.). You may attach a resume or additional information to your application.

Section II: Laboratory Experiences Please provide any additional information regarding your ability/experiences working in an exercise physiology research or laboratory environment. This can include any laboratory experiences during previous academic work as a student. Please be as specific as possible (i.e. types of equipment you have worked with, procedures you have conducted types of specific tests you have uses, etc.)

Section III: Teaching Experience

Kinesiology TA Application (last revised September 2014) Page 1 of 2 The Department of Kinesiology offers a variety of activity courses that all of the undergraduate students can select in order to fulfill the Human Wellbeing portion of General Education and the primary duty for our Graduate Assistants is to teach these courses. Please provide information for each of the activity classes listed below regarding (1) your interest in teaching this course (highly interested, somewhat interested, or not interested) and (2) your background and experience in this activity (check all that apply). In addition, please provide a brief description (1-2 sentences max) of your background and skills for the areas that you have checked.

Activit Teaching / Participation Experience y Interest in Teaching Coaching Playing Certification Brief description Teaching Aerobic Conditioning Interest ☐ ☐ ☐ ☐ Brief description Aerobic Dance Interest ☐ ☐ ☐ ☐ Brief description Badminton Interest ☐ ☐ ☐ ☐ Brief description Basketball Interest ☐ ☐ ☐ ☐ Brief description Golf Interest ☐ ☐ ☐ ☐ Brief description Tennis Interest ☐ ☐ ☐ ☐ Brief description Swimming Interest ☐ ☐ ☐ ☐ Brief description Strength and conditioning Interest ☐ ☐ ☐ ☐ Brief description Personal Fitness Interest ☐ ☐ ☐ ☐ Brief description Stress Management Interest ☐ ☐ ☐ ☐ Brief description Volleyball Interest ☐ ☐ ☐ ☐ Brief description Physiology of Exercise Interest ☐ ☐ ☐ ☐ Brief description Athletic Training Interest ☐ ☐ ☐ ☐ Brief description Clinical Anatomy and Physiology Interest ☐ ☐ ☐ ☐ Brief description Labs Other Interest ☐ ☐ ☐ ☐ Brief description

Please provide any additional information below regarding your ability to teach the classes listed above OR information regarding your ability to teach in related areas that are not listed on this application.

Please return your completed Departmental Graduate Teaching Assistantship Application form to: Western Illinois University Attention Dr. Cindy Piletic Department of Kinesiology 212 Brophy Hall Macomb, Il. 61455

Kinesiology TA Application (last revised September 2014) Page 2 of 2