COACHING MINOR

PE 442 FIELD EXPERIENCE

APPLICATION FORM

Save a copy of this file then open it in your word processor. Insert the required information as neatly as possible. Save this file then print off a copy of the completed form and make an appointment with the Coaching Minor Advisor to discuss your application.

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Student Name:

ID#

Address:

Current phone:

Quarter of Assignment (Check one):
Fall
Winter
Spring
Summer

Expected Starting Date:

Expected Ending Date:

Location of Assignment:

City of Assignment:

On-site supervisor of Assignment:

Supervisor's Phone #

Sport you will be coaching:

Your identified, or expected role for your field experience as an assistant coach (Write a paragraph describing your learning objectives):

Return to:

Coaching Minor Director
PE Building
Central Washington University
Ellensburg, WA 98926
(509-963-1911)