FACULTY OF COMMUNITY
AND HEALTH SCIENCES
University of the Western Cape
Private Bag X17, Bellville, 7535
South Africa
Tel: +27 (0) 21 959 3688
Fax: +27 (0) 21 959 3688
E-mail:ldavids@uwc.ac.za
Website: www.uwc.ac.za
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DEPARTMENT OF SPORT,
RECREATION & EXERCISE SCIENCE
CONFIDENTIAL
APPLICANT
QUESTIONNAIRE
Please tick one only
BA (HONOURS) BIOKINETICS (8021)
BSc (HONOURS) BIOKINETICS (8024)
Name:…………………
Gender:………………………
Phone: (
Cell:……………………….
)……………..
Age:…………
E mail……………………..….
Postal Address:………………………………………………………………….………………….
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………………………………………………………………………………………………………..
………………………………………………………………………………………………………..
Code………………….
UNIVERSITY EDUCATION
UNIVERSITY
DEGREE
MAJOR SUBJECTS
YEAR GRADUATED
FINAL MARKS
PLEASE NOTE: DO NOT merely ask us to refer to an attached academic transcript.
SUBJECT
COURSE CODE
FACULTY
YEAR STUDIED
FINAL MARK %
Which of the following best describe your ultimate career plans?
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Research and Teaching in Exercise Science
Clinical Research and Teaching
Rehabilitation in Patient Populations
Testing and Training of Athletes
Providing Biokinetics and Exercise Services to Athletes
Exercise Prescription for Apparently Healthy People
Commercial of Product Development
Sports Nutrition
Lifestyle Counsellor
Sports Injury Rehabilitation
Corporate Wellness
Other (………………………………………………………………..)
Please detail any relevant experience you have had in your work, studies or extramural
activities that would make you a stronger candidate for this course.
Please detail any research experience you have had. (e.g. projects you have assisted in)
Please detail any other information that would aid us in selection of you as a candidate for
this course…
Why have you chosen this career path?
Thank you for providing this information.
Yours sincerely
Dr L Leach
Biokinetics Programme Coordinator
Please return the completed questionnaire together with a transcript of your results (current
results available thus far) to:Ms L Davids
Department of Sport, Recreation and Exercise Science
University of the Western Cape
Private Bag X17
Bellville
7535
Email: ldavids@uwc.ac.za
Fax: (021) 959-3688