For Agency-Site Supervisor - please check one of the following:
Original: No other application exists from original.
Continued Practice: An application exists at Academic-Unit and no changes in practice exist from original.
Change In Practice: An application exists at Academic-Unit though changes in practice exist for the domain(s) identified below - please, make correction(s) to change(s) only and resubmit to Academic-Unit.
Address Line 2
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Bosnia and Herzegovina
Central African Republic
Papua New Guinea
Saint Kitts and Nevis
Saint Vincent and the Grenadines
Sao Tome and Principe
Serbia and Montenegro
Trinidad and Tobago
United Arab Emirates
CPRP or Other Certification Number
Number of full-time certified personnel (i.e., CPRP) at Agency-Site
* The above named Agency-Site agrees to accept to students for internships from Academic-Unit. The Agency-Site recognizes that the Academic-Unit's goal is to assign students according to their interests and abilities; therefore this is only an application. If such a relationship is perceived, the Academic-Unit will be in contact soon thereafter.
- Please indicate in the spaces provided how the student will be exposed to the following 11 content areas while attending your Agency-Site.
1. Budget and Finance
Examples include: analyzing budgets, fees and charges, external funding sources, purchase requisitions/orders, examining how budgets and capital improvement programs are managed, completing cash handling practices, etc.
2. Staff Development and Supervision
Examples include: examining job descriptions, performance appraisals, supervision policies, interpreting personnel issues, appraising work schedules, employee grievance processes, orientations, training programs, working with seasonal, part-time and volunteer staff, etc.
3. Policy Formulation and Interpretation
Examples include: inspecting agency policies and operations manual, appraising agency's policy decision making process, analyzing advocacy activities, etc.
4. Customer Service and Marketing
Examples include: Completing networking activities with related organizations, examining agency's vision, mission and markets, constructing promotional materials, public information services, packets for special issues, analyzing public relations efforts, practicing customer service, etc.
Examples include: Analyzing individual/group/program needs, resources, etc.
6. Program Planning
Examples include: Constructing program and participant goals and objectives, practicing ADA compliance, examining program development including activities, logistics and scheduling, etc.
7. Program Implementation
Examples include: Employing direct leadership of recreation activities including teaching, equipment use and supervision, analyzing program registration, facility reservations, inclusion practices and related paperwork, etc.
8. Program Evaluation
Examples include: Completing program and participant evaluations, constructing program/agency reports, etc.
9. Planning and Management
Examples include: Interpreting agency's strategic plan, examining partnerships, facility policies and operations, etc.
10. Maintenance Management
Examples include: Examining agency's maintenance standards and plans, energy efficient procedures, preventive maintenance, etc.
11. Facility Operations
Examples include: Inspecting opening/closing procedures for facilities, employing safety and security procedures, analyzing facility management procedures, etc.
** Additionally, please submit the following to the Academic-Unit Internship Coordinator prior to final approval of the Agency-site being accepted as an internship Agency-Site:
- Remuneration offered by the Agency-Site (if any; i.e., salary, housing, etc.)
- Resume(s) of Agency-Site Internship Supervisor(s)
Eastern Illinois University Department of Recreation Administration appreciates your cooperation and support. Again, our goal is to assign students according to their interests and abilities. If such a relationship is perceived, we will be contacting you very soon with additional information. If you have any questions, please do not hesitate to call (217) 581-3018. Please submit this application to Eastern Illinois University, Department of Recreation Administration.
Signature of Academic Coordinator