Agency-Site Application for Rec Admin

Agency-Site application for student intern 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 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.
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 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.
5. Assessment

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.
Date Submitted Date Submitted / MM / DD YYYY
Approved

Approved Yes No
Signature of Academic Coordinator
Date Date / MM / DD YYYY

Agency-Site Application for Rec Admin

Agency-Site Application for Rec Admin

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

** 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)

- Remuneration offered by the Agency-Site (if any; i.e., salary, housing, etc.)
- Resume(s) of Agency-Site Internship Supervisor(s)