SPRINGFIELD COLLEGE APPLICATION FOR TEACHING/RESEARCH FELLOWSHIP IN MOVEMENT SCIENCE LABORATORY Please note that one copy of your resume and teaching competence form needs to be on file in the School of Health, Physical Education and Recreation (413) 748-3413. Please submit all your fellowship paperwork in one envelope at one time with the following application to: Springfield College, School of Physical Education and Recreation, 263 Alden Street, Springfield, MA 01109 Name: ___________________________________________________________________ Date:__________________________________ Home/Permanent Address:_____________________________________________________ Street:_____________________________________________________________________ City, State, Zip:______________________________________________________________ Telephone #: Day: Night:_________________________ Cell Phone #:________________________ Email Address:__________________________ Date of Acceptance in Grad Program:____________________________________________ Major Area to be Studied at S.C.:________________________________________________ Area of Specialization at S.C.:___________________________________________________ Degrees Sought: (M.S., M.Ed., M.P.E., Ph.D.) Record of Undergraduate Study: Degree Date: GPA: College:__________________________ Major:___________________________ Minor:___________________________ Record of Other Graduate Study: Degree: Date: GPA: College:_________________________ Major:__________________________ Minor:__________________________ Please See Reverse Side For Specific Discipline Requirements Comments:___________________________________________________________________________ _____________________________________________________________________________________ Please submit all your fellowship paperwork in one envelope at one time, including your competence form and resume. Incomplete packets will not be processed. For Office Use Only: Comp Resume Aerobics AES AthAdm ATRN Club Health INTRM MS Outdoor PE Teach REC RSCH SMGT T&M Aquatics Baseball Basketball FH GYMN Lax Soccer Softball Tennis Trk&Fld Volleyball Wrestling SPRINGFIELD COLLEGE C:\WORD\My Doc\Fellowship Application\Movement Science APPLICATION FOR TEACHING/RESEARCH FELLOWSHIP IN MOVEMENT SCIENCE LABORATORY Name: Date:_________________________ Record of Applicable Expertise (please check where appropriate) Graduate associateships in the Movement Sciences area require approximately 20 hrs per week in some combination of the following: (1) the teaching of & preparation for the laboratory sessions associated with the courses in the Movement Sciences. These courses are taught to graduate and undergraduate in Movement Sciences, Physical Education, Applied Exercise Science, and Physical Therapy. (2) the assistance with data collection and analysis for on-going Movement Sciences laboratory research, and/or (3) the keeping of office hours and tutorial hours. Graduate fellowships are usually available in some of the following areas: Physiology of Exercise, Biomechanics/Kinesiology, Performance Assessment, Statistics, Research Methods, and Motor Learning. As an associate member of the Movement Sciences Laboratory staff, fellows are expected to present and conduct themselves as professionals in the area. Interest In Area Past Experience Or Study in Area Degree In Area Experience As Assistant In Area Teaching Experience In Area Physiology/Exercise Biomechanics/Kinesiology Performance Assessment Motor Learning Statistics Research Methods Teaching Experiences related to Movement Sciences:___________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Other teaching or related experiences:_______________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Interested in assisting with research (please check) : Yes____ No____ If YES, research experiences:______________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ C:\WORD\My Doc\Fellowship Application\Movement Science