For Agency-Site Supervisor - please, check one of the following:
Original: No other application exists at Academic-Unit
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) idetified 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 students for fieldwork experiences 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 & Finance
Examples include: recognizing budgets, fees & charges, external funding sources and purchase requisitions/orders, identifying how budgets and capital improvement programs are managed, describing cash handling practices, etc.
2. Staff Development & Supervision
Examples include: identifying job descriptions, performance appraisals, and supervision policies, describing personnel issues, recognizing work schedules, employee grievance processes, orientations, and training programs, working with seasonal, part-time, and volunteer staff, etc.
3. Policy Formulation and Interpretation
Examples include: recognizing agency policies and operations manual, describing agency's policy decision making process, listing advocacy activities, etc.
4. Customer Service and Marketing
Examples include: describing networking activities with related organizations, recognizing agency's vision and mission and markets, listing promotional materials, public information services, packets for special issues, identifying public relations effors, discussing customer service, etc.
Examples include: identifying individual/group/program needs, resources, etc.
6. Program Planning
Examples include: identifying program and participant goals and objectives, ADA compliance, recognizing program development including activities, logistics, scheduling, etc.
7. Program Implementation
Examples include: discussing direct leadership of recreation activities including teaching equipment use, supervision, explaining program registration, facility reservations, inclusion practices, related paperwork, etc.
8. Program Evaluation
Examples include: discussing program and participant evaluations, recognizing program/agency reports, etc.
9. Planning and Management
Examples include: recognizing agency's strategic plan, explaining partnerships, facility policies, operations, etc.
10. Maintenance Management
Examples include: recognizing agency's maintenance standards and plan, energy efficent procedures, preventive maintenance, etc.
11. Facility Operations
Examples include: identifying opening/closing procedures for facilites, describing safety and security procedures, recognizing facility management procedures, etc.
** Additionally, please submit the following to the Academic-Unit Fieldwork Coordinator prior to final approval of the Agency-Site being accepted as a Fieldwork Agency-Site
- Remuneration offered by the Agency-Site (if any; i.e. salary, housing, etc.)
- Resume(s) of Agency-Site Fieldwork 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