Western Illinois University

Department of Kinesiology

Departmental Graduate/Teaching Assistantship Application

Application Process:

Graduate students seeking to be considered for the Teaching Assistantship positions and External Graduate Assistantships within 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 or external graduate assistantship

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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 College or University: Enter university or college where earned undergraduate degree

Undergraduate Degree GPA:Enter GPA

English is your native language: YES ☐NO☐

**If no, please provide TOEFL or ETS scores. Enter TOEFL or ETS score

Applied to WIU Graduate School YES ☐NO☐

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

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

Certifications

Please indicate any certifications that you have

CPRYES ☐NO☐

First AidYES ☐NO☐

NSCA- CSCSYES ☐NO☐

USAWYES ☐NO☐

ATCYES ☐NO☐

PT/PhysiotherapyYES ☐NO☐

ACSMYES ☐NO☐

Other, please identify and explain Enter certification title and explanation

Section III: Teaching Experience

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.

Activity / Teaching / Participation Experience
Interest in Teaching / Teaching / Coaching / Playing / Certification / Brief description
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 /
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 Clinical / Interest / ☐ / ☐ / ☐ / ☐ / Brief description /
Anatomy and Physiology Labs / Interest / ☐ / ☐ / ☐ / ☐ / Brief description /
Athletic Training -Corporate / Interest / ☐ / ☐ / ☐ / ☐ / Brief description /
Strength and Conditioning coach Local High School / Interest / ☐ / ☐ / ☐ / ☐ / Brief description /

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.). Please be sure to attach a resume with 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.)

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.

Provide three (3) names of professional references (include name, position, email and phone number)

Please return your completed Departmental Graduate Teaching Assistantship Application form with a copy of your resume to:

Western Illinois University

Attention Dr. Cindy Piletic, Graduate Coordinator

Department of Kinesiology

212 Brophy Hall

Macomb, Il. 61455

Kinesiology TA Application (last revised March 2018)Page 2 of 2