Frostburg State University
Exercise & Sport Science
Health Fitness Concentration
Internship Packet
2
Table of Contents
Introduction
Guidelines for Internship Experience
Internship Assignment Sheet
Requirements for the Promotional Project/Marketing Plan
Requirements for the Individual Fitness Program
Requirements for the Group Program
Requirements for Testing Portfolio
Grading of Field Experience
Time-Line
Appendix I: Health Fitness Internship Application
Appendix II: Student Evaluation: Mid-Term
Appendix III: Student Evaluation: Final
Appendix IV: Sample Daily Journal Form
p. 3
p. 4
p. 7
p. 9
p. 12
p. 13
p. 14
p. 15
p. 19
p. 20
p. 23
p. 25
p. 27
Appendix V : Internship Site Articulation Agreement / Contract p. 28
3
Frostburg State University
Exercise & Sport Science
Health Fitness Focus
Internship Experience
PHEC 495: 9 Credits
Introduction
The purpose of the internship is to provide a means for applying
theoretical concepts learned in the undergraduate Exercise & Sport
Science Curriculum to a practical situation. This experience is an
opportunity for you to learn to effectively deliver health and fitness
concepts to target populations. During this experience you will have
the opportunity to enhance your knowledge of health and fitness, but
also to learn about the business aspect of health and fitness
management.
During the internship you should think of yourself as a
professional. You are representing yourself as well as Frostburg State
University. You will get out of this experience as much as you put
into it. Remember that internship experiences can, (and often do) lead
to future employment.
4
Guidelines For Internship Experience: Health & Fitness
Concentration
 Prior to Internship:
(1) All potential interns must register for PHEC 495 for 9 credits.
(2) All potential interns must hand in a list of a minimum of three potential sites
where they would like to do their internship ONE SEMESTER PRIOR TO
THE INTERNSHIP EXPERIENCE! The internship coordinator in cooperation
with the student intern will make the final decision as to where the student will be
placed.
(3) The APPLICATION FORM FOR THE HEALTH/FITNESS
CONCENTRATION must be completed and handed in to the coordinator two (2)
months prior to the internship experience.
(4) All course work in the health/fitness concentration must be completed. This
requirement is to ensure that you have all necessary knowledge, skills, and
abilities to successfully complete all required duties during your experience.
(5) You must become a student member in a health/fitness related professional
organization. Please select from the following: You are required to provide
evidence of membership (i.e. membership card) prior to beginning your
internship
o National Strength & Conditioning Association (NSCA)
 www.nsca-lift.org
o American College of Sports Medicine (ACSM)
 www.acsm.org
o American Council on Exercise (ACE)
 www.acefitness.org
o Aerobic & Fitness Association of America (AFAA)
 www.afaa.com
(6) You MUST obtain professional liability insurance prior to beginning your
internship experience. This insurance will be provided free of charge through
Frostburg State University. You must submit your internship application by the
due date (see the internship time-line) to allow for adequate processing time for
your policy. Failure to submit your application in a timely manner will result in
you being de-registered from PHEC 495.
(7) You must purchase a current copy of the ACSM’s Guidelines For Exercise
Testing and Prescription.
(8) You must contact the internship site and arrange for an intake interview with
the supervising staff member(s). You should provide the facility with a current
resume as well as a list of your personal goals and expectations from this
experience. You should also provide the internship site’s supervising staff
5
member(s) with a copy of your Evaluation & Prescription (PHEC 411)
Exercise Testing Portfolio.
(8) You must provide the internship-site with a coy of the articulation agreement /
contract (Appendix V). This agreement MUST be completed and returned to the
following address PRIOR to beginning the internship experience. Failure to
complete and return this agreement in a timely manner will result in you being deregistered from your internship course!
Return contract to your advisor:
John Wright, Hunter Brakeall, or Melody Kentrus
Evidence verifying that all of the above requirements have been met MUST
be presented to the internship coordinator no later than two months prior to
the beginning of the internship experience (unless otherwise specified).
Failure to fulfill all minimum requirements will result in the student NOT
being allowed to participate in the Internship experience for that semester.
 Internship Requirements:
(1) You must complete a minimum of 45 hours on the job for each credit that you
are registered for. This will equal 405 total hours, or approximately 30 hours
per week during a typical semester. All hours must be logged and then
verified by your direct supervisor.
(2) You must keep a daily log of all activities that will be handed into the
internship coordinator following the internship. This log should include
specific assignments and activities carried out each day of the internship.
(3) You must fulfill all internship basic requirements (i.e. special projects, fitness
testing, program development, special populations). See “Internship
Assignment” sheet.
(4) You must inform the internship coordinator as to your scheduled workdays.
You must submit prior to beginning your experience a proposed work
schedule to the internship coordinator.
(5) You MUST contact the internship coordinator at least once per week
throughout the field experience to report your progress as well as any
difficulties that you are experiencing. The preferred method of contact is
via e-mail through the FSU system.
6
 Post-Internship Requirements:
(1) You must meet with the Internship Coordinator to discuss your internship. All
materials required for completion of the internship must be turned in to the
internship coordinator immediately following the internship. This includes:
 Professional Resume
 Evidence of membership in a professional organization
 Evidence of personal liability insurance
 Daily Log
 Business Plan
 Promotional Project / Marketing Plan
 Individual Fitness Program
 Group Fitness/Wellness Program
 Testing Portfolio
 Summary reflection paper.
All materials must be organized in a professional portfolio.
7
Internship Assignment Sheet
The internship experience is graded Pass /Fail. In order to obtain a passing
grade a minimum score of 70% must be earned during the internship.
During the Internship experience the HFF student will be required to complete
several projects designed to enhance their educational experience. These projects
will be kept in a student portfolio and must include:
 A business plan.
 A promotional project / marketing plan for the internship facility.
 An individual fitness program.
 A group fitness / wellness program (i.e. an exercise class, educational
seminar, or team program).
 A fitness-testing portfolio.
 A summary reflection paper.

Additionally, the HFF student will be required to obtain 5 practical hours in
each of the following domains:
 Senior Citizen Wellness
 Obesity/Weight-Control
Grade Components:
Application
5%
A completed application form for the internship must be in the Internship
Coordinator’s office two months prior to the internship


Daily Log:
10%
 A comprehensive account of what you did during your hours of duty should
be recorded in this log. Included in this account you should document:
o Date & hours worked
o Specific responsibilities during hours of work
o Problems encountered
o Solutions to any problems
o Brief evaluation of the day’s activities
 You must use the supplied internship daily log forms (appendix IV) for
documenting all hours and activities. Failure to provide a complete journal
will result in failure of the internship.
 You must have your supervisor sign-off on your daily journal everyday to
verify completion of daily responsibilities.

Projects: (see individual requirements on following pages)
 Business/Promotional/Marketing Plan 10%
 Individual Fitness Program
10%
 Group Fitness / Wellness Program
10%
 Fitness Testing Portfolio
15%
8

Summary / Reflection Paper
5%
 An evaluation paper detailing your experiences on the job should
include the following:
o What did you accomplish during the internship?
o What do you see as your strengths and weaknesses in this
field?
o Were there any educational weaknesses in your Exercise &
Sport Science major which hindered your performance in this
internship? Please be very specific in detailing both strengths
and weaknesses.
o Your suggestions for improving your education leading up to
this internship and for improving this particular program.

Evaluation Forms
20%
 Evaluation forms completed by the internship site supervising staff member
should be sent to the student’s internship coordinator at mid-term of the
internship and immediately following the internship.
o Mid-Term evaluation form
o Final Evaluation form

Coordinators Evaluation & Discussion Forums
15%
 This evaluation will be based on the material handed in by the intern and a
total evaluation of the entire experience. It includes your participation in
weekly discussion forums on Blackboard as well as your weekly
communication with your internship coordinator/FSU instructor.
 In the event of you being “fired” from your internship due to
unprofessional behavior, rules violations, or criminal activity, you will
receive a grade of “Fail” for your internship experience. Appeals will be
granted to allow you to present your side of the story as well as any evidence
that you may have in your defense.

If you are unable to complete your internship due to events out of your control
(i.e. the company goes out of business, layoffs, budget-cuts, act of God, etc.),
you must contact the internship supervisor immediately to arrange for
alternative internship opportunities. All possible efforts will be made to place
you in a new internship site as quickly as possible. If this is not possible, then
you will be graded based on the work that you have completed up to the point
of termination.
* See “Grading of Field Experience” form for specific criteria.
9
Requirements for the Promotional Project/Marketing Plan
As a health fitness professional you will be expected to effectively design
programs and then MARKET your program to attract potential participants. Marketing of
your program will involve performing a brief feasibility study, determine your target
population, contacting your target population, budgeting and determining successful and
cost-effective means of advertising your program.
It will be your responsibility to market your group wellness activity in order to
attract participants. You will be responsible for working with your internship facility’s
marketing/advertising department to develop and implement a successful marketing
strategy.
Develop a marketing plan for the business by answering these questions. If you
are working at a franchise facility (Gold’s Gym, World Gym, Bally’s, etc.) you will
have to use the marketing strategy the franchiser has developed. Your marketing
plan should be included in your business plan and contain answers to the
questions outlined below.
o
1. Description of business – Services? Products? Size of business?
o
2. Who are your customers? Define your target market(s).
o
3. Are your markets growing? steady? declining?
o
4. Is your market share growing? steady? declining?
o
5. If a franchise, how is your market segmented?
o
6. Are your markets large enough to expand?
o
7. How will you attract, hold, increase your market share? If a franchise, will
the franchiser provide assistance in this area? Based on the franchiser's
strategy? How will you promote your sales?
o
8. What pricing strategy have you devised?
MARKETING PLAN
This is the marketing plan of____________________________
I. MARKET ANALYSIS
A. Target Market - Who are the customers?
o
1. We will be selling primarily to (check all that apply):
o
Total Percent of Business
a. Private sector _______ ______
b. Wholesalers _______ ______
c. Retailers _______ ______
d. Government _______ ______
10
e. Other _______ ______
o
2. We will be targeting customers by:
o
a. Product line/services.
We will target specific lines ________________
b. Geographic area? Which areas? ________________
c. Sales? We will target sales of ________________
d. Industry? Our target industry is ________________
e. Other? ________________
o
3. How much will our selected market spend on our type of product or
service this coming year?
$________________
B. Competition
o
1. Who are our competitors?
NAME ________________________________________
ADDRESS _________________________________________
_________________________________________
Years in Business ___________________
Market Share ___________________
Price/Strategy ___________________
Product/Service
Features ___________________
NAME _________________________________________
ADDRESS _________________________________________
_________________________________________
Years in Business ____________________
Market Share ____________________
Price/Strategy ____________________
11
Product/Service
Features ____________________
o
2. How competitive is the market?
High ____________________
Medium ____________________
Low ____________________
o
3. List below your strengths and weaknesses compared to your
competition (consider such areas as location, size of resources, reputation,
services, personnel, etc.):
Strengths Weaknesses
1._______________________ 1._____________________
2._______________________ 2._____________________
3._______________________ 3._____________________
4._______________________ 4._____________________
C. Environment
o
1. The following are some important economic factors that will affect our
product or service (such as trade area growth, industry health, economic
trends, taxes, rising energy prices, etc.):
________________________________________________
________________________________________________
________________________________________________
o
2. The following are some important legal factors that will affect our
market:
________________________________________________
________________________________________________
________________________________________________
o
3. The following are some important government factors:
________________________________________________
________________________________________________
12
________________________________________________
o
4. The following are other environmental factors that will affect our market,
but over which we have no control:
________________________________________________
________________________________________________
I attest that the student-intern completed this marketing analysis with the assistance of the General
Manager / Marketing Coordinator / Fitness Director / Business Manager (or other acceptable
personnel).
Internship Site Supervisor’s
Signature:_______________________________________________
13
Requirements for the Individual Fitness Program
Applying accumulated knowledge and developing an effective fitness
program for an individual is the cornerstone to a Health Fitness Instructor’s career.
After completing the core curriculum of the Health Fitness concentration you will
have the knowledge, skills, and abilities to effectively assess, evaluate, and prescribe
a comprehensive fitness program for a variety of individuals. This project will allow
you the opportunity to demonstrate your skill as a fitness professional by designing
a personal fitness program for a facility member and serving as their “personal
trainer” for the duration of your internship.
Requirements for successful completion of the Individualized Fitness
Program are as follows:
Assessment Section
 Comprehensive wellness / health assessment (example: Wellsource software)
 Body composition analysis
 Musculoskeletal Flexibility Assessment
 Cardiovascular Fitness Assessment
 Blood Pressure Measurement and assessment
 Musculoskeletal strength assessment for ALL exercises performed.
 Diet Analysis
Design Section
 Needs analysis
 Goal Assessment
 1-RM Predictions (all strength exercises)
 Periodization Model
 Metabolic Equations / Heart-rate predictions (cardiovascular exercise)
Fitness Program Section
 Strength Program: 1 macrocycle (one year)
 Cardiovascular Program: (one year)
 Flexibility program
 Nutrition / weight-loss program
14
Requirements for the Group Program
Health fitness professionals are frequently required to design and lead group
wellness activities. These activities range in scope from simple aerobics classes to
smoking cessation or diabetes management programs. It will therefore be your
responsibility to design and implement a comprehensive group activity within the
context of your sponsoring facility. The topic for this program should be decided
between your facility supervisor and yourself. Suggested topics for this group
intervention are as follows:
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
Diabetes management
Smoking Cessation
Hypertension Management
Exercise for chronic pain / fibromyalgia
Pre/Post natal exercise
Senior fitness
Osteoporosis prevention
Youth / Adolescent Fitness
Training for Competition
Group Cycling
Progressive relaxation
Yoga
Martial Arts
Sport Specific Training
Adventure training
Water Exercise
Flexibility Training
15
Requirements for Testing Portfolio
To ensure that you have an opportunity to adequately practice your fitness
component testing, you will be required to complete a fitness-testing portfolio
during your internship experience. The required components of this portfolio are as
follows:
 Health Risk Appraisal (Wellsource): 30
 Body Composition Tests: 100
o Skin-fold: at least 50
o Any combination of the following tests: Infrared (futrex), BIA,
Hydrostatic weighing, Bod-Pod.
 Musculoskeletal flexibility: 50 total
o Sit & Reach
o Apley’s Scratch Test
o Goniometry
 Strength Tests:
o Predicted 1-RM: 25
o Actual 1-RM: 25
 Blood Pressure: 100
 Cardiovascular Tests: 30
o YMCA Cycle Test
o Step Test
o Lifecycle Fit Test: (Must be completed w/ exercise B.P.)
Name:______________________________________
Semester:___________________________________
16
GRADING OF INTERNSHIP
0 = criteria not met 1 = criteria somewhat met 2 = criteria mostly met 3 = criteria
fully met
Daily Log
Date and hours worked
Specific responsibilities
Problems encountered
Solutions to problems
Evaluation of daily activities
Value = 10%
Group Project
Coordinator approval
Descriptive write-up
Evidence of completion of project is provided (i.e.: pictures/video of program,
letter from supervisor verifying completion and active involvement)
Evidence of scholarly activity directly related to the research and implementation
of group project (i.e. annotated bibliography, copies of research materials, etc.)
Value = 10%
Marketing Plan
Coordinator approval
Descriptive write-up
Evidence of marketing of plan within the facility and / or community (marketing
materials included, i.e.: brochure, copy of advertisement, etc.)
Signature / verification of site supervisor
Criteria
Met
Criteria
Met
Criteria Met
Value = 10%
Individual Fitness Program
Coordinator approval
Descriptive write-up
Assessment Section
 Comprehensive wellness / health assessment (example: Wellsource software)
 Body composition analysis
 Musculoskeletal Flexibility Assessment
 Cardiovascular Fitness Assessment
 Blood Pressure Measurement and assessment
Criteria
Met
17
 Musculoskeletal strength assessment for ALL exercises performed.
 Diet Analysis
Design Section
 Needs analysis
 Goal Assessment
 1-RM Predictions (all strength exercises)
 Periodization Model
 Metabolic Equations / Heart-rate predictions (cardiovascular exercise)
Fitness Program Section
 Strength Program: 1 macrocycle (one year)
 Cardiovascular Program: (one year)
 Flexibility program
 Nutrition / weight-loss program (including a 72-hour diet anaysis)
Value = 10%
Testing Portfolio
Health Risk Appraisal (Wellsource, or other acceptable health history and
health risk assessment form): 30
Body Composition Tests: 100
o Skin-fold: at least 50
o Any combination of the following tests: Infrared (futrex),
BIA, Hydrostatic weighing, Bod-Pod.
Musculoskeletal flexibility: 50 total
o Sit & Reach
o Apley’s Scratch Test
o Goniometry
Strength Tests:
o Predicted 1-RM: 25
o Actual 1-RM: 25
Blood Pressure: 100
Cardiovascular Tests: 30 (any combination of any of the following tests is
acceptable unless previous approval of another test is granted by the internship
coordinator)
o YMCA Cycle Test
o Queens College Step Test
o Lifecycle Fit Test: (Must be completed w/ exercise B.P.
Value = 15%
Summary/Reflection Paper
Goals accomplished
Personal strengths & weaknesses
Professional preparation
Criteria
Met
Criteria
Met
18
Improvements in professional preparation
Value = 5%
Application
Completed and submitted prior to Field Experience semester
Value = 5%
Evaluation Forms
Mid-term: ________% score x 3 =
Final: ________% score x 3 =
Value = 20%
Coordinator’s Evaluation
Prior to Internship
Enroll in PHEC 480
Submit application
Complete all required course work
List of potential sites
Liability insurance
During Internship
ACSM Guidelines
45 contact hours per credit hour
Daily log to include specifics
Special project written up in detail
Submit work schedule to coordinator
Maintain contact with coordinator
General Guidelines
Materials are typed, well-written w/ appropriate citations
Materials are submitted in a timely fashion
Materials reflect application of professional knowledge and disposition
Follow-up meeting with coordinator
Value = 15%
Section area criteria scores are totaled and averaged for each section
Each section average is multiplied by % section value.*
Section values are totaled.
Total is divided by 3 (total of possible values)
% of possible values = grade
90%-100% = A, 80%-89% = B, 70%-79% = C, 60%-69% = D, ≤ 59% = F
Criteria
Met
Criteria
Met
Criteria
Met
19
*Decimals will only be carried to 10ths. Rounding up will occur with any 100th value of 5
or higher.

Final Grade:___________________ / _____________________
20
Health Fitness Internship
Time-Line

Application Due Date:
Date of Internship:
Fall Semester:
Spring Semester:
Summer Session:
Winter Session:
Application Due date:
May 1st
December 1st
May 1st
October 1st
 List of three potential internship sites: Due with application.
 Interviews w/ 2 potential internship sites: Must be completed prior to
application due date. Evidence of these two interviews must be presented
with the application (i.e. letter from internship site, business card w/
supervisor’s signature, etc.). Evidence must be turned in with application.
 Final Decision regarding the internship site: Due with application.
 Evidence of professional membership: 1st day of classes-internship
semester.
 Evidence of liability insurance: 1st day of classes-internship semester.
 Work Schedule with all pertinent contact information: 1st week of
classes-internship semester.
 Faculty Supervisor Contact: Minimum of once per week, In person,
email or on phone.
 Daily hour log: Must be signed on a daily basis by internship
supervisor. – Failure to have supervisor sign each day’s log will result
in that day’s hours not counting toward the 405-hour requirement.
 Final project/portfolio: Last day of classes.
21
Appendix I
FROSTBURG STATE UNIVERSITY
DEPARTMENT OF HEALTH, PHYSICAL EDUCATION AND
RECREATION
HEALTH FITNESS INTERNSHIP APPLICATION
Name__________________________________Birth Date______________________
Mailing
address__________________________________________________________________
________________________________________________________________________
Permanent
Address_________________________________________________________________
________________________________________________________________________
Local Telephone_________________________Home Telephone___________________
Social Security Number___________________Major____________________________
Expected Graduation Date_________________
Grade Point Average (major)____________ Grade Point Average (overall)___________
Total Semester Hours Completed_________
College Advisor__________________________________________________________
Car: ( ) yes ( ) no
What professional clubs or organizations are you currently a member of?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
What offices have you held and what honors have you received in high school and
college?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
What job experiences relate to your internship placement?
________________________________________________________________________
________________________________________________________________________
22
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
What would you like to accomplish during your internship? List goals and objectives.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
List your strengths and weaknesses as you presently perceive them related to completing
an internship.
STRENGTHS_____________________________________________________________
________________________________________________________________________
_______________________________________________________________________
WEAKNESSES___________________________________________________________
________________________________________________________________________
_______________________________________________________________________
Give a brief biographical sketch. Include what influenced and motivated you to pursue
this career path. Explain what contributions you can make to the Health/Fitness field.
Why did you choose the Health/Fitness concentration?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Define professionalism and teamwork. How does this relate to your philosophy of
Health/Fitness?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
List three different topic areas for a special project.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
23
Attach a copy of your professional resume and your course audit to this application
form detailing all courses and grades received for those courses throughout your
college career. This course audit can be obtained from your advisor or the registrar.
Date of Submission____________________
Student Signature________________________________________Date____________
Internship Coordinator____________________________________Date____________
24
Appendix II
STUDENT EVALUATION: MID-TERM
Health/Fitness Internship
Student Intern______________________________ Date_______________________
Internship Site Supervisor_____________________ Agency_____________________
Instructions: Using the criteria listed below, please evaluate the performance of the
student during the internship. This form should be returned to the Internship Coordinator:
John Wright, Hunter Brakeall, or Melody Kentrus
Personal Qualities
Poor
Fair
Good
Excellent
N/A
Poor
Fair
Good
Excellent
N/A
Poor
Fair
Good
Excellent
N/A
Personal Appearance
Enthusiasm
Cooperativeness
Courtesy
Rapport w/ Participants
Rapport w/ Staff
Professional Qualities
Dependability
Daily Preparation
Initiative
Receptiveness to Criticism
Knowledge
Anatomy
Biomechanics
Exercise Physiology
Human Development and Aging
Pathophysiology and Risk
Factors
Human Behavior and
Psychology
Health Appraisal and Fitness
Testing
Safety and Injury Prevention
Exercise Programming
Nutrition and Weight
Management
Program
25
Administration/Management
Electrocardiography
Poor
Skills
Fair
Good
Excellent
N/A
Risk Factor Identification
Blood Pressure Measurement
Body Composition
Measurement
Treadmill / Bike Use
Flexibility Testing
Strength Testing
Electrocardiogram (ECG)
Preparation
ECG Administration
ECG Reading
Exercise Prescription
Exercise Leadership
Verbal Communication to a
Group
Individual Counseling
Written Communication
Overall
Performance
Unsatisfactory
1
2
3
4
5
Outstanding
Please list any skills which this student needs to improve and/or include any additional
comments here or on the other side of this form.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________


This evaluation has been discussed with the student: ( ) yes; ( ) no
Recommendation for employment: ( ) yes; ( ) no
Internship Site Supervisor: _______________________________ Date: _____________
26
Appendix III
STUDENT EVALUATION: FINAL
Health/Fitness Internship
Student Intern______________________________ Date_______________________
Internship Site Supervisor_____________________ Agency_____________________
Instructions: Using the criteria listed below, please evaluate the performance of the
student during the internship. This form should be returned to the Internship Coordinator:
John Wright, Hunter Brakeall, or Melody Kentrus
Personal Qualities
Poor
Fair
Good
Excellent
N/A
Poor
Fair
Good
Excellent
N/A
Poor
Fair
Good
Excellent
N/A
Personal Appearance
Enthusiasm
Cooperativeness
Courtesy
Rapport w/ Participants
Rapport w/ Staff
Professional Qualities
Dependability
Daily Preparation
Initiative
Receptiveness to Criticism
Knowledge
Anatomy
Biomechanics
Exercise Physiology
Human Development and Aging
Pathophysiology and Risk
Factors
Human Behavior and
Psychology
Health Appraisal and Fitness
Testing
Safety and Injury Prevention
Exercise Programming
Nutrition and Weight
Management
Program
27
Administration/Management
Electrocardiography
Poor
Skills
Fair
Good
Excellent
N/A
Risk Factor Identification
Blood Pressure Measurement
Body Composition
Measurement
Treadmill / Bike Use
Flexibility Testing
Strength Testing
Electrocardiogram (ECG)
Preparation
ECG Administration
ECG Reading
Exercise Prescription
Exercise Leadership
Verbal Communication to a
Group
Individual Counseling
Written Communication
Overall
Performance
Unsatisfactory
1
2
3
4
5
Outstanding
Please list any skills which this student needs to improve and/or include any additional
comments here or on the other side of this form.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________


This evaluation has been discussed with the student: ( ) yes; ( ) no
Recommendation for employment: ( ) yes; ( ) no
Internship Site Supervisor: _______________________________ Date: _____________
28
Appendix IV
Sample Daily Journal Form
Name:_______________________
Internship Site:_____________________
1. Date:________________________
Daily Hours:_______________________
Total Accumulated Hours:____________
What I did today:
Something I learned:
What I did well:
What I need to work on:
Supervisor signature:
2. Date:________________________
What I did today:
Something I learned:
What I did well:
What I need to work on:
Date:
Daily Hours:_______________________
Total Accumulated Hours:____________
29
Supervisor signature:
Date:
Frostburg State University
Exercise & Sport Science: Health Fitness Concentration
Cooperating Site Internship Agreement & Contract
The purpose of the internship is to provide a means for applying theoretical
concepts learned in the undergraduate Exercise & Sport Science Curriculum to a practical
situation. This experience is an opportunity for the student to learn to effectively deliver
health and fitness concepts to target populations. During this experience the student will
have the opportunity to experience and enhance their knowledge of health & fitness, but
also to learn about the business aspect of health & fitness management. The supervising
internship site plays a vital role in the professional preparation of the intern. Frequently,
the internship site is the student’s first exposure to the professional world. In order to
ensure a quality experience for both the student-intern and for the supervising internship
site expectations and responsibilities will be outlined for all participating persons.
Student-Intern Responsibilities:
During their professional placement in an internship facility, the student intern
will be responsible for fulfilling the following requirements:
(1) The intern must complete a minimum of 45 hours on the job for each credit
that they are registered for. This will equal 405 total hours, or approximately 30
hours per week during a typical semester. All hours must be logged and then
verified by the direct supervisor.
(2) The intern must keep a daily log of all activities that will be handed into the
program coordinator following the internship. This log should include specific
assignments and activities carried out each day of the internship.
(3) The intern must fulfill all internship basic requirements (i.e. special projects,
fitness testing, program development, special populations).
(4) The intern must inform the program coordinator as to the scheduled workdays.
(5) The intern must contact the program coordinator several times throughout the
field experience to report your progress as well as any difficulties that they are
experiencing.
(6) During the Internship experience the HFF student will be required to complete
several projects designed to enhance their educational experience. These projects
will be kept in a student portfolio and must include:
 A promotional project / marketing plan for the internship facility.
 An individual fitness program.
 A group fitness / wellness program (i.e. an exercise class, educational
seminar, or team program).
 A fitness-testing portfolio.
 A summary reflection paper.
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Additionally, the student-intern will be required to obtain 5 practical hours in
each of the following domains:
 Senior Citizen Wellness
 Obesity/Weight-Control
Responsibilities of the Sponsoring Internship Site
The supervising internship site shall provide the FSU Exercise & Sport Science
Intern with the opportunity and available health/fitness equipment, physical facilities,
materials and supplies in which to apply and practice the clinical skills related to that
intern’s field of study. The sponsoring internship site will also provide each Exercise &
Sport Science Intern with the opportunity to work with that facility’s clientele as
appropriate. The supervising facility will have the responsibility to provide the Intern
with the appropriate equipment and opportunity to fulfill all internship basic requirements
(i.e. special projects, fitness testing, program development, special populations), as well
as to designate the administrative daily activities. Furthermore, the supervising facility
will have the right to remove any Intern with whom they become dissatisfied and shall be
relieved of any obligations to the Intern. In the event that any supervising facility’s
physical facilities are deemed unsuitable for an appropriate learning experience by the
Intern’s faculty supervisor, the Intern may be removed from that site and placed in an
appropriate internship site. The supervising internship site also agrees to complete a
midterm and final evaluation form and submit these evaluations to the faculty internship
supervisor within one (1) week of the completion of the internship experience.
Each supervising internship site must provide the following items to ensure
appropriate practice of clinical skills by the intern:
(1) Body composition testing equipment (i.e.: skin fold calipers, BIA device, BodPod, Hydrostatic weighing, Futrex, or any other appropriate device).
(2) Cardiovascular Fitness Testing Equipment (i.e.: Lifecycle Fit-Test, YMCA
Sub-Max Cardio Test, Harvard Step-Test, or any other appropriate testing protocol).
(3) Musculoskeletal Flexibility testing equipment (i.e.: Tape measure, sit & reach
box, goniometer, or any other appropriate testing device).
(4) Standard Sphygmomanometer & Stethoscope.
The Exercise & Sport Science Intern will conduct a facility review during the first
week of the internship at their respective internship site. A checklist of the
aforementioned facility requirements will be taken. If any deficiencies in the required
facilities are noted in this review, the faculty internship supervisor will personally review
the facility. From this facility review, the faculty supervisor will make a written report of
the deficiencies. The Internship site will have fourteen (14) days to correct the
deficiencies or the intern will be placed in a new internship site.
The supervising internship facility will continue to have responsibility and
liability for supervision of the facility’s daily operations, exercise equipment, physical
facilities, material and supplies which it provides for the use and application of the
Exercise & Sport Science Interns. Additionally, the supervising internship facility will
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agree to assign only duties consistent with the job description of a regularly employed
health/fitness professional.
Compensation
In compliance with the Department of Labor’s requirements, Exercise & Sport
Science Interns will receive nine (9) hours of academic credit for their participation in
this internship experience. Therefore, the supervising internship facility is NOT required
to financially compensate the intern for services provided. If financial compensation is to
be rewarded it is the responsibility of the Intern and the supervising internship facility to
determine the appropriate pay scale and schedule.
TERM
The effective date of this agreement shall be ________. This agreement shall terminate
on ____________. The parties agree to discuss renewal of this agreement sixty (60) days
prior to termination.
PROFESSIONAL LIABILITY INSURANCE
Each student intern shall be required to obtain a professional liability insurance policy
with coverage limits of not less than $1 million per claim and $3 million aggregate, with
the policy being written on an occurrence basis and subject to annual renewal. Each
Intern must present written proof of such insurance to the supervising faculty member
and the internship supervisor prior to the intern’s first on-site visit to the sponsoring
internship site.
NONDISCRIMINATION
Each party agrees that student recruitment, admission, participation in clinical activities,
and evaluation shall occur without discrimination with respect to race, color, creed,
sexual orientation, age, disability, or national origin.
GOVERNING LAWS
This agreement shall be governed by the laws of the State of Maryland, and subject to the
exclusive jurisdiction of Maryland State courts.
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AMENDMENTS
This agreement may be amended only in writing and signed by each of the parties to this
agreement.
IN WITNESS WHEREOF, the parties, by their authorized officials, execute this
agreement for Exercise & Sport Science Health/Fitness Internship.
SPONSORING INTERNSHIP SITE
Name of Sponsoring Site:_________________________________
Address:_______________________________________________
Authorized Official: (print)________________________________
Authorized Official: (signature)____________________________
Date:_________________________________________________
FROSTBURG STATE UNIVERSITY
Internship Faculty Supervisor: (print)____________________________
Internship Faculty Supervisor: (signature)__________________________
Date:______________________________________________________