Agency-Site Application For Fieldwork

Agency-Site application for fieldwork student in recreation administration.

Student Name Student Name First Last
For Agency-Site Supervisor - please, check one of the following:

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) identified below - please, make correction(s) to change(s) only and resubmit to Academic-Unit
Agency-Site
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Agency-Site Supervisor
CPRP or Other Certification Number
Expiration Date
Number of full-time certified personnel (i.e., CPRP) at Agency-Site
Phone Phone - ### - ### ####
Fax Fax - ### - ### ####
Email
* 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 efforts, discussing customer service, etc.
5. Assessment

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 efficient 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.
Date Submitted Date Submitted / MM / DD YYYY
Signature of Academic Coordinator
Date Date / MM / DD YYYY

Agency-Site Application For Fieldwork

Agency-Site Application For Fieldwork

Please indicate in the spaces provided how the student will be exposed to the following 11 content areas while attending your Agency-Site.