GRADUATE ASSISTANTSHIP APPLICATION
Personal Information
First Name:
Sex:
Male
Female
Last Name:
LSUID:
Mailing Address:
E-mail Address:
City:
Telephone Number (Home):
(please include area code)
State:
LA
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
VI
WA
WV
WI
WY
Telephone Number (Work):
(please include area code)
Zip Code:
Background Information
When do you plan to begin your graduate program?
Semester:
Fall
Spring
Summer
Year:
2007
2008
2009
2010
2011
2012
2013
2014
Degree program and area of concentration in which you plan to enroll:
M.S.
Ph.D.
Applied/Clinical Exercise Physiology
Exercise Physiology (thesis)
Motor Behavior
Pedagogy
Sport Pedagogy
Sport Management
Exercise Physiology
Motor Behavior
Pedagogy
Pedagogy & Motor Behavior
Academic History
Degree(s)
Institution(s)
Date
Major
GPA
Test Scores
GRE Scores: Verbal:
Quantitative:
Analytical:
I have not taken the GRE but plan to on
TOEFL Score: (International Students Only)
I have not taken the TOEFL but plan to on
Experience
Graduate Assistantship assignments involve teaching and/or research responsibilities. Teaching may involve teaching physical activity classes, which are all beginning level, or lecture classes.
Indicate below your level of competency in the following physical activities.
(Mark: "B" if you are a Beginner; "I" if intermediate; "A" if advanced)
Aerobics
B
I
A
Tennis
B
I
A
Golf
B
I
A
Jogging
B
I
A
Weight Training
B
I
A
Martial Arts (specify types)
Swimming
(Check if you are currently valid:
Life Saving
WSI
Other
Specify type and amount of experience in the following areas:
CPR:
Valid Certification:
Yes
No
First Aid:
Instructor's Card :
Yes
No
Personal and/or Community Health:
Physical Fitness:
Anatomy:
Elementary and/or Secondary P.E. Methods:
Other:
Laboratory / Research Experience (Specify type, amount, and place)
Exercise Physiology Related:
Motor Learning, motor control and/or biomechanics related:
Pedagogy related:
Computer related experience:
Teaching experience:
Additional information concerning your background that will assist in assigning assistantship responsibilities to you: