DEPARTMENT OF KINESIOLOGY & RECREATION
PHEC 482- FIELD EXPERIENCE IN HEALTH FITNESS
Student Name:______
Class standing: ______GPA:______
When I graduate from FSU, I want to: ______
______
Previous FE placements: ______
______
Semester & year you will be completing this field experience: ______
Number of credits you will be completing: ______
Site Name: ______
Address: ______
______
Phone Number: ______
Supervisor’s Name: ______
E-mail: ______
Phone Number: ______
Description of the Facility: ______
______
______
Your role at that facility as a student: ______
______
______
______
Student Signature: ______
Supervisor Signature: ______
Date: ______
Students:Complete the information, & initial next to the required fields after discussion with your potential
supervisor. Return this form to your instructor at FSU byNovember 30th.
Supervisors: Please initial next to the items that your site can provide and leave any comments below.
Course Objectives:
______Students: I plan to complete the following objectives while attending my field experience site.
______Supervisors: Students should be able to understand and identify the basic operational procedures in health fitness facility daily operation including but not limited to:
(a)Front-desk management
(b)Customer relations
(c)Basic equipment maintenance
(d)Basic equipment cleaning
(e)Correct operation and adjustment of exercise machines / equipment
(f)Conducting member fitness orientations
(g)Fitness class management, and program promotion
Experience hours:
______Students: I plan to complete (number) ______credits at this site.
______Supervisors: If students attend all days required of them, they should be able to achieve the required
number of hours. 1 credit: 45 hours 2 credits: 90 hours 3 credits: 135 hours
Daily journal:
______ Students will document activity in a journal each day.
______ Supervisors willread and sign journals to ensure adequate learning.
Weekly e-mail correspondence:
______ Students will be in contact with their instructors each week through e-mail to communicate about
any successes, questions, or concerns during the experience.
______Supervisors are encouraged to contact instructors if issues arise as well.
Project/Paper:
______Students will submit one project or paper per credit of field experience.Students should choose the
topic & confirm it with their supervisor and instructor.
______Supervisors can recommend a specific project or paper that they think would be of benefit during
the experience.
Competency Checklist:
______Students should seek out learning opportunities to understand all objectives listed above.
______Supervisorsshould check off and sign the competency sheet at the end of the semester, verifying
whether or not students are proficient in those areas including above objectives.
Midterm & Final Evaluations:
______Students should provide the supervisor with the midterm and final evaluations at least a week in
advance.
______Supervisors are expected to complete the evaluations and send to the instructor.
Comments: ______
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