<p> UNIVERSITY OF KANSAS DEPARTMENT OF HEALTH, SPORT, AND EXERCISE SCIENCES</p><p>APPLICATION FOR GRADUATE TEACHING AND RESEARCH ASSISTANTSHIPS</p><p>Name KUID </p><p>Present Address Social Security </p><p>Phone </p><p>Permanent Address Phone </p><p>Email </p><p>Duration of your availability: from to </p><p>Degree sought: M.S.E. Specialization Area: </p><p>Ph.D. Specialization Area: </p><p>Undergraduate degree earned from overall GPA </p><p>Graduate degree earned from overall GPA </p><p>PREVIOUS EXPERIENCE</p><p> Teaching Health and/or Physical Education</p><p> Laboratory experience in Exercise Physiology, Kinesiology, Perceptual Motor Development</p><p> Other work related to any of the above</p><p> Research experience</p><p> 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.</p><p>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</p><p>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)</p><p>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.</p><p>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</p>