DEPARTMENT OF KINESIOLOGY & RECREATION

PHEC 482- FIELD EXPERIENCE IN HEALTH FITNESS

Student Name:______

Class standing: ______GPA:______

When I graduate from FSU, I want to: ______

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Previous FE placements: ______

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Semester & year you will be completing this field experience: ______

Number of credits you will be completing: ______

Site Name: ______

Address: ______

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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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