KINESIOLOGY 460
INTERNSHIP IN KINESIOLOGY
INSTRUCTOR:
PREREQUISITES:
CLASS SCHEDULE:
OFFICE HOURS:
M. Christopher Washam, Ph.D.
Senior Standing
Meets first and last Tuesday of Semester
TBA
OFFICE:
CREDIT:
PHONE:
E-MAIL:
Cockroft Rm 14
3 Hours
601-925-3302
Washam@mc.edu
COURSE DESCRIPTION: A semester long supervised leadership experience during the senior
year designed to provide opportunities for students to gain practical experience working in a facility
related to the student’s area of emphasis. A minimum of 100 supervised clock hours is required.
Internship site must be approved by the Faculty Internship Advisor (Washam) one semester prior to
placement.
RATIONALE: This course provides students with a capstone leadership experience in a work
environment under the supervision of an academic coordinator and a site supervisor.
LEARNING OBJECTIVES AND OUTCOMES: At the conclusion of the course the student will:
1.
Be able to apply knowledge gained throughout his/her program of study in a work
environment
2.
Demonstrate knowledge of the organizational structure and function of the participating
agency and include this information in a professional portfolio
3.
Demonstrate professional attitudes and responsibility related to the work environment
4.
Identify basic office management procedures that should be used in carrying out the
tasks of an organization or facility
5.
Identify the skills, functions, and qualifications essential for effective job performance.
6.
Have the ability to demonstrate to working professionals the qualifications and
competence to step into a permanent position
7.
Develop and/or participate in a special project consistent with the goals and objectives of
an organization
8.
Demonstrate the skills and knowledge necessary for graduate study.
ACADEMIC INTEGRITY: It is expected that a student attending Mississippi College will be
scrupulously honest. Therefore, plagiarism and cheating will be dealt with in accordance with
the policies of the university. Theses policies are stated in the current Undergraduate Bulletin,
Policy 2.19.
COURSE TOPICS:
1.
Orientation to the internship experience
2.
Professional expectations
3.
Problems and issues in the work environment
4.
Evaluation of internship experience
5.
Job opportunities and continued education
INSTRUCTIONAL METHODS: Seminars, small group meetings, individual supervision and
evaluation
COURSE REQUIREMENTS:
1.
Internship Approval - Students will discuss internship expectations with advisor prior to
placement. If the advisor approves the placement, a signed agreement must be turned in
to the advisor prior to beginning the recording of hours.
NOTE The signed internship agreement MUST be completed and submitted prior
to the beginning of your internship. Internship hours CANNOT be counted
without this signed agreement.
OUT OF AREA INTERNSHIP SITES: Internships should be located within the
metro Jackson area, unless a remarkable opportunity for the student presents itself.
Only in exceptional circumstances will an out-of-state internship be accepted. A
system for communicating with the remote internship site/supervisor must be in
place before hours are counted.
2.
Meetings – attend group meetings (schedule to be announced), generally the first week
of classes, and at the end of the semester.
At approximately 50 hours into the internship, the intern should send a brief mid-term
report of progress to that point. This report should include the number of hours up to
that point.
3.
4.
Journal - Keep a daily journal of activities.
a.
Include a summary of duties and responsibilities
b.
Identify problems which might occur
c.
Include a record of the number of hours worked verified by site supervisor
d.
Provide a brief status report by the site supervisor
Portfolio - The following should be included in the portfolio:
a.
Evaluation paper - Final report of internship experience
b.
Job description - The intern will create a job description which will include the
duties and responsibilities of the internship experience
1. Position title
2. Duties
3. Position qualifications
4. Position relationships (with whom in the organization do you have to work)
c.
A description of the organization and the department in which the internship
was performed – include a description of the facilities and activities of the
organization
d.
Advertising and promotional materials - include materials designed by the
student
e.
Program Planning - how are activities selected, events scheduled, planned, and
evaluated
f.
Student evaluation of internship
g.
A copy of student’s daily journal
h.
Resume
Date for submission of final report and portfolio will be announced at the beginning
of semester meeting, and will be posted on Dr. Washam’s webpage.
EVALUATION: The student will be evaluated on the basis of the following:
1. Supervisor evaluation
2. Portfolio
Grade in this course is Credit/No credit.
OTHER COURSE INFORMATION:
1.
Special Accommodations: Please see Dr. Washam’s web site.
2.
Internship is to be completed during the semester in which the student is
enrolled in KIN 460 - incomplete grades will be given only under very extreme
circumstances
IMPORTANT– All assignments are to be submitted on time.
MISSISSIPPI COLLEGE
DEPARTMENT OF KINESIOLOGY
KIN 460 –INTERNSHIP
INTERNSHIP AGREEMENT
Student's Name____________________________________________________Phone ____________________________
Internship Site _______________________________________________________________________________________
Address_______________________________________________________________________________________________
_______________________________________________________________________________________________________
Site Supervisor's Name _________________________________________Phone________________________________
Faculty Coordinator ____________________________________________Phone________________________________
Starting Date____________________________ Ending Date_____________________________________
Course Number KIN 460 Total Credits 3 Credits
Minimum Clock Hour Requirement 100 hours
1.
The student will be at the intern site from ___________a.m./p.m. to
____________a.m./p.m. daily for a total of ___________hours during the
______________semester, _________.
2.
The weekly meeting between the student intern and the site supervisor will be at ___________ on
___________________.
3.
List below regular daily activities the student will be responsible for during the course of the
internship. (Please be specific.)
4.
Describe below any major projects the student will be expected to complete by the end of the
internship. (Please be specific.)
5.
List any organizational or professional meetings the student will be required to attend during the
internship.
6.
List below any additional contract items (i.e. student dress, procedures of confidentiality, etc.)
SITE SUPERVISOR RESPONSIBILITIES
1.
Contact the faculty coordinator to discuss or clarify the field experience if necessary.
2.
Meet with potential students and discuss specific possibilities for field experience activities.
3.
Arrange for office or work space for the student.
4.
Provide structured orientation period at the beginning of the field experience.
5.
Be available, on an appointment basis if necessary, to provide guidance to the student on specific
issues.
6.
Schedule weekly meetings with the student for the specific purpose of providing feedback,
discussing progress, problems, and insights with regard to the field experience.
7.
Contact the faculty coordinator if, for some reason it is felt that the student should not continue
the field experience.
8.
Complete all evaluations for the student's record.
AGREEMENTS
SITE SUPERVISOR
I agree to supervise the internship of the above named student, to organize the work of the intern to
include a variety of experiences, to respond to telephone interviews from the Mississippi College
supervisor, to permit onsite visits by the Mississippi College supervisor as scheduled, and to submit
midterm and final evaluation reports.
I agree that the student will perform a minimum of 100 clock hours of internship activities.
Site Supervisor
Date_____________________________
UNIVERSITY SUPERVISOR
I agree to monitor the above internship by telephone with the site supervisor, to visit the internship site
as often as possible, and to schedule and complete an exit review prior to awarding a grade and credit.
MC Supervisor Signature
Mississippi College
Department of Kinesiology
Box 4054
Clinton, MS 39056
Phone: 601-925FAX: 601- 925-3956
Email:
Date_____________________________
INTERNSHIP AGREEMENT AND WAIVER RELEASE AGREEMENT
The intern agrees to the following:
I agree to perform internship duties as described above at the direction of the site supervisor, to complete
a weekly journal of hours worked and activities completed signed by the site supervisor, to prepare a
termination report with a portfolio of work completed, and to complete an exit interview with the
Mississippi College supervisor before credit is awarded. I also understand that the grade in this course is
CREDIT or NO CREDIT and that if I do not complete my hours or fulfill any other obligations of the
internship during the course of the semester I will receive a grade of NO CREDIT.
Waiver and Release Agreement
I wish to participate in the Activity and in consideration for being permitted to participate in the Activity, I hereby
represent and agree as follows:
1.
I understand that participation in the Activity involves risks and hazards not found in study at the University,
including risks involved in traveling, and I have sought and obtained information and advice that I feel are
necessary and appropriate. I am fully aware of and voluntarily assume the risks and hazards connected with
participating, and I hereby voluntarily elect to participate in the Activity. I acknowledge, accept, and assume all
such risks, whether or not foreseeable and whether or not caused by the negligent or intentional acts or
omissions of others, and elect voluntarily to participate in the Activity.
2.
Knowing these risks and hazards, and in consideration of being permitted to participate in the Activity, I agree, on
behalf of my family, heirs and personal representative(s), to assume all the risks and responsibilities surrounding
my participation in the Activity. I understand that, although the University has made every reasonable effort to
assure my safety while participating in the Activity, there are unavoidable risks, and I hereby release and promise
not to sue the University, and the officers, employees or agents (“Released Parties”) for any damages or injury
(including death) caused by, deriving from, or associated with my participation in the Activity, except for such
damages or injury as may be caused by the gross negligence or willful misconduct of the officers, employees or
agents. It is my express intent that this Release bind my heirs, assigns and personal representatives.
3.
I represent that my agreement to the provisions herein is wholly voluntary, and further understand that, prior to
signing this Release, I have the right to consult with the adviser, counselor or attorney of my choice.
4.
I will be informed of and will conform my conduct to the standards surrounding the Activity and assume
responsibility for my actions, understanding that the circumstances of an Activity may require a standard of
behavior that may differ from that which is applicable on campus. I will comply with the University’s rules,
standards and instructions for student behavior, including the Student Code of Student Conduct. I acknowledge
and understand that my compliance is important to the success of the Activity and to the University’s willingness
to permit future similar activities. I waive and release all claims against the University that arise at a time when I
am not under the direct supervision of the University or that are caused by my failure to remain under such
supervision or to comply with such rules, standards and instructions.
5.
I agree that the University has the right to enforce the standards and conduct described herein in its sole
judgment and that it may impose restrictions, up to and including removal and termination from the Activity for
violating these standards or for any behavior detrimental to or incompatible with the interest, harmony and
welfare of the University, the Activity or other participants. If I am terminated from the Activity, I consent to being
sent home at my own expense with no refund of fees (if applicable).
6.
I have no health-related reasons or problems that preclude or restrict my participation in the Activity. I have or
will obtain and maintain health, accident, disability, hospitalization and travel insurance as I deem necessary to
participate in the Activity, and I will be responsible for the costs of such insurance and for any expenses not
covered by insurance.
7.
I have disclosed to the College/University any physical, mental and emotional conditions or problems that might
impair my ability to participate in the Activity, and I hereby release the University and its trustees, officers,
employees, agents and representatives from any and all claims, demands, injuries, damages, losses, actions,
causes of action, or expenses whatsoever arising out of my failure to disclose such conditions or problems.
8.
The University may, but is not obligated to, take any actions regarding my health and safety that it considers to be
warranted under the circumstances. I hereby authorize the University to make such decisions as may be
necessary if it is unable to reach the Emergency Contact (Person(s) named above). I agree to pay all expenses
relating thereto and release the University from any liability for any such actions.
9.
I will assume full financial responsibility for all costs and expenses incurred by me in connection with the Activity,
including, without limitation, financial responsibility for damage or destruction to property of third parties.
10. I will not hold myself out as having the power or authority to bind or create liability for the College or the
University.
11. I agree that should any provision or aspect of this Release be found to be unenforceable, all remaining provisions
will remain in full force and effect.
12. This Release represents my complete understanding with the University concerning their responsibility and
liability for my participation in the Activity. It supersedes any previous or contemporaneous understandings I may
have had with the University on this subject, whether written or oral, and cannot be changed or amended in any
way without my written concurrence.
Check one:
□ I am at least eighteen years old.
□ I am not yet eighteen years old and therefore have secured the signature of my parent or guardian as
well as my own below.I have read this Waiver and Release Agreement carefully and I am
signing it voluntarily.
Signature:
Name (printed):
Date:
MISSISSIPPI COLLEGE
KINESIOLOGY DEPARTMENT
KIN 460 – INTERNSHIP
SITE SUPERVISOR FINAL EVALUATION OF STUDENT INTERN
This evaluation form is to be completed by the Site Supervisor. Other site personnel however, are
encouraged to participate in the evaluation. The Site Supervisor should review and discuss his/her
evaluation with the student. Emphasize only those qualities of the student about which you feel you can
make a reasonable judgment based upon personal observation.
Student's Name______________________________________ Signature______________________________
Supervisor's Name____________________________________Signature______________________________
Name of Site _________________________________________Date___________________________________
PLEASE USE THE FOLLOWING SCALE TO EVALUATE THE STUDENT:
EXCELLENT = 4
GOOD
=3
FAIR
=2
UNSATISFACTORY
NO OPINION
PERSONAL QUALITIES
poise/flexibility
interest and respect for others
appearance/neatness
general positive demeanor
self-application/industrious
thorough
emotional stability
Overall rating (circle one) EXCELLENT
_____
_____
_____
_____
_____
_____
_____
GOOD
FAIR
PROFESSIONAL QUALITIES
genuine interest in the profession
genuine interest in the site
enthusiastic worker
willingly accepts work to be done
seeks up-to-date information
appreciates constructive criticism & suggestions
dresses appropriately
completes work promptly
knows when to ask for help
distinguishes between trivia and significance
flexible and adaptive worker
selects proper level of work activity
exhibits loyalty
upholds department policies
adheres to agreed work schedule
Overall rating (circle one) EXCELLENT
=1
=0
GOOD
FAIR
UNSATISFACTORY
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
UNSATISFACTORY
LEADERSHIP QUALITIES
understands objectives of site and work tasks
relates well with others
is respected by co-workers and others
adapts to situations
analyzes problems and seeks potential solutions
responds to needs of others
plans work activity/organizes and schedules
observes rules and regulations
self-motivated
committed to excellence
Overall rating (circle one) EXCELLENT
GOOD
FAIR
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
UNSATISFACTORY
INTELLECTUAL QUALITIES
learns quickly
understands assignments given
inquisitive and attempts to learn all possible
knowledge of subject matter
creative in planning
resourceful
Overall rating (circle one) EXCELLENT
GOOD
FAIR
_____
_____
_____
_____
_____
_____
UNSATISFACTORY
COMMUNICATION SKILLS
listens attentively
speaks clearly and distinctly
writes ideas simply and clearly
uses proper style, form, and grammar
submits neat, legible reports
contributes ideas effectively
tactful and courtesy
Overall rating (circle one) EXCELLENT
GOOD
_____
_____
_____
_____
_____
_____
_____
FAIR
UNSATISFACTORY
OVERALL ESTIMATE OF ABILITY AND PROFESSIONAL PROMISE -- How would you rate this student
in terms of your composite impression of his/her qualification, performance, and potential? (CIRCLE
YOUR RATING)
EXCELLENT
GOOD
FAIR
UNSATISFACTORY
PLEASE COMMENT ON EACH OF THE FOLLOWING
(Use back of page if necessary)
1.
What are the intern's apparent strengths?
2.
Identify weaknesses in the intern that need improvement.
3.
If your agency/organization currently had a position open, would you consider hiring this intern
student? Why? Why not?
4.
Have you hosted interns from other educational institutions?
Yes _____
No _____
If yes, please rate our intern on experience and knowledge in comparison. (Please check one line
in each column).
Was more experienced
Was equal in experience
Was less experienced
5.
Was more knowledgeable
Was equal in knowledge
Was less knowledgeable
_____
_____
_____
Would you be willing to consider another intern from Mississippi College?
Yes _____
6.
_____
_____
_____
No _____
Please list any comments, concerns, criticisms, and/or suggestions regarding the professional
preparation of students in the Kinesiology Sports Management Program at Mississippi College.
__________________________________
________________
Site Supervisor Signature
Date
(Verifies satisfactory completion of all internship hours)
RETURN TO:
Mississippi College
Department of Kinesiology
Box 4054
Clinton, MS 39056
Phone: 601-925-3302
FAX: 601- 925-3956
EMAIL: washam@mc.edu
MISSISSIPPI COLLEGE
DEPARTMENT OF KINESIOLOGY
KIN 460 – INTERNSHIP
STUDENT FINAL EVALUATION OF AGENCY FORM
This form will be used for the purpose of evaluating the agency with regard to future internship
placements. Please answer honestly. This form will only be shared with the Mississippi College
internship supervisor after your internship has been completed. Future internship students may also
see your evaluation of this agency.
Your Name _____________________________________ Date ____________
Your Supervisor __________________________________________________
Agency-Business-Company________________________________________
Date You Started ________________ Date You Ended ________________
I.
Please rate your site supervisor on each of the criteria listed below based on the following scale:
M=much S=some L=little N=none NA=not applicable
_____1.
Oriented intern to total site environment
_____2.
Created an atmosphere of acceptance, friendliness and belonging
_____3.
Clarified intern's responsibilities
_____4.
Assisted in establishing proper goals and objectives
_____5.
Used cooperative planning in the teaching-learning situation
_____6.
Assisted in selecting and using basic equipment, materials and resources
_____7.
Demonstrated effective administrative methods and techniques
_____8.
Encouraged participation in departmental and/or program meetings
_____9.
Allowed initiative and creativity on the part of the intern
_____10.
Met at least weekly with student to discuss progress and/or problems
_____11.
Was easily accessible to answer questions and provide guidance
_____12.
Provided constructive criticism when necessary
_____13.
Served as an effective professional role model for student
II.
Overall, how would you rate the learning experience you received from this agency?
Excellent
Good
Average
Fair
Poor
III.
Overall, how would you rate your site supervisor?
Excellent
Good
Average
Fair
Poor
IV.
What are the strengths of this agency and its programs?
V.
What are the weaknesses of this agency and its programs?
VI.
What are the strengths of your agency supervisor with regard to handling internships?
VII.
What are the weaknesses of your agency supervisor with regard to handling internships.
Intern Signature______________________________________ Date______________________________