Qualtrics Survey | Qualtrics Experience Management

Exercise Science Fieldwork Application

Department of Kinesiology

James Madison University

This form should be completed and submitted prior to enrolling your intended fieldwork course. To expedite the process of completing this form, you should have the following files/information available to you: saved PDF of your current unofficial JMU transcript and your current resume. Additionally, there are many reflection questions which will require considering your professional choices and path. You should complete this screening survey when you are not in a rush. It will take some time.

Your name. First and last. Ex: James Madison

Your email including the @dukes.jmu.edu. Ex: example@dukes.jmu.edu

Upload your current unofficial JMU transcript. (This file is required to enroll in KIN 381 / 481.)

Upload your current resume. (This file is required to enroll in KIN 381 / 481.)

What are your two- and five-year professional goals?

Please provide a list of 2-5 potential sites for your proposed practicum or internship.

What other courses do you think you will complete during the time you will be completing your fieldwork hours? This is rough and depends on registration, but in the best case, which courses will be be taking concurrently? Further, how many credit hours for the semester? (If this information is reflected on your transcript, you can skip this question.)

Complete the following reflection questions to assess your likelihood of success at the short list of potential sites you’ve compiled.

Describe any special knowledge, skills and/or abilities you have that may be of interest to the agency.

What do you want to learn as a result of this experience? A minimum of three outcomes must be included.

Why do you want to complete your fieldwork at any of the sites you’ve provided on your short list?

What course work have you completed that will assist you in this fieldwork experience?

What past or current employment/volunteer experience(s) will assist you in this opportunity?