Next Generation Leadership

Higher Education Kinesiology Department Head Certification

APPLICATION

Name:

Institution:

Department:

Mailing Address:

Phone:

Email Address:

Current Rank and Years in Higher Education:

Are you currently a program coordinator or department chair/head? Y/N

I do _____, *do not _____ currently have a leadership mentor.

*Mentoring is critical to the program. If you do not currently have a leadership mentor, we can help you; however, we believe the mentoring process is organic and that you should ultimately select the mentor who is right for you. Consider these characteristics when selecting a mentor: kinesiology administrator with at least 5 years experience, similar type institution, mutual respect for each other, and someone who is as committed to this process as you are.

Attach the following documents to the application form and send electronically to

·  A cover letter outlining the leader roles you have held, your professional goals, and your leadership aspirations

·  A letter of nomination from an administrator in higher education

·  A current curriculum vita

·  The signed statements of agreement (for yourself and your mentor)

APPLICATION DETAILS

Cost:

Fee of $120 (members)/$250 (nonmembers) is due before commencement of 360 degree evaluation. Participation is limited to 30, and applications submitted by NAKHE members will be given preference. Fee will be paid online by credit card through NAKHE portal.

Timeline:

·  Review of applications for the Higher Education Kinesiology Department Head Certification begins March 15th, 2018. Notification of acceptance will be made by May 1st, 2018.

·  Training and Mentor Pairings will occur at the face-to-face training that takes place prior to the summer Leader Development Workshop (LDW) typically held the second week of July (after the holiday) 2018.

·  Applicants and their mentors are encouraged to attend the NAKHE 2018 Annual Conference together and attend the pre-convention administrator workshop.

·  Portfolios are due at the completion of the Professional Experience Project, but no later than July 1st, 2019.

·  Certificate of Completion will be awarded at the LDW July 2019.

·  Recognition at the Annual Conference in January 2019.

Requests for information and completed applications should be sent electronically to:

Lynda Ransdell, PhD
College of Health and Human Services

Northern Arizona University

208 E. Pine Knoll Dr.

PO Box 15015

Flagstaff, ZA 86011

Phone: 928.523.4331

Email:

Statement of Agreement Department Head Certification Program:

I ______understand that the Higher Education Kinesiology

Department Head Certification is a one-year program. I pledge to fully participate during the

entire program. This includes completing the 360 – degree evaluation and Personal Growth

Plan (PGP), attending required trainings and other activities during the year I am enrolled in the

program, including the face-to-face training held prior to the summer Leader Development

Workshop, and the annual NAKHE Conference. I will work with my mentor to complete the

Professional Experience Plan (PEP), which includes a portfolio that documents the project

undertaken at my university.

I understand that I will not receive the department head certification if I fail to complete any

component of the program.

Signed, ______Date

Mentor Statement of Agreement:

I ______agree to serve as an administrative mentor to

______. I will evaluate his/her 360 – degree evaluation with

him/her and develop a personal growth plan with him/her. I also agree to serve as a resource

for his/her Professional Experience Project and will be available to him/her throughout the year

for guidance.

I understand that my mentee will not receive the department head certification if he/she fails

to complete any component of the program.

Signed, ______Date