Human Performance/Clinical Research Lab

Colorado

State

University

Human Performance/Clinical Research Lab

Department of Health and Exercise Science

Fort Collins, Colorado 80523-1582

(970) 491-3847

FAX: (970) 491-7677

For Colorado State University students in Health and Exercise Science:

HES 486B* or HES 686A^ Practicum Placement Information

*Placed by Wendy DeYoung

^Placed by Matthew Hickey

Name ______

First Middle Last

Mailing Address ______

Street

______

City State Zip Code

Desired Contact Phone ______

Email ______

Concentration in HES______Overall GPA ______

Minor or related field ______Major GPA ______

Academic Level Fr So Jr Sr Grad Graduation date ______

Computer skills ______

Semester for practicum (circle one): Spring Summer Fall

How did you hear about the program? ______

College/University Practicum Supervisor: (Indicate appropriate supervisor.)

  Undergraduate - Wendy DeYoung

  Graduate – Matthew Hickey

The following information must be provided to complete the acceptance procedure:

CSU HES applicants

Resume

Information about the requirements of your program

Current transcript (ARIESweb printout is acceptable)

Cover letter addressing career aspirations and goals for this position

Copy of CPR certification

 Schedule detailing your academic, work and other responsibilities and the hours that you would like to be in the practical experience

Please provide the above information in one email or paper packet. Materials are due two weeks prior to the start of the semester.

**There will be observations and training sessions to prepare you for your experience.

We recommend observations (~3 hours) during the first week of the semester during our testing times. The purpose of the observations is to allow students to watch the testing procedures prior to learning how to do them in the training session. More information will follow on the available dates as they are not consistent.

The first training session is typically the first Saturday of the semester. Please plan to attend the training session on that day. More information will follow on that training session and the second training session. The second training session schedule depends on the schedules of the students in the practicum.

Signature of Applicant ______Date ______

Colorado State University Practicum and Internship details:

HES 486A practicum

Total of 3 credits

There is one credit hour of lecture and two credit hours of practicum contact hours. These contact hours require 30 hours each, which is a total of 60 for the semester.

HES 487 internship

Total of 15 credits

HES 686A Graduate practicum

Total of 3 credits

For the 3 credits, there are 135 contact hours required for the semester, which is 9 hours per week over the 15 weeks.