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WESTERN'MICHIGAN'UNIVERSITY'

DEPARTMENT'OF'HUMAN'PERFORMANCE'AND'HEALTH'EDUCATION'
HPHE'4990'9'SPORT'MANAGEMENT'INTERNSHIP'
APPLICATION'
(Please'Type'or'Print'in'Ink)'
'
'
Name'Martin
' Siemans
' ' ' ' ' ' ''''WIN'#''866178735' ' ' '
'
Local'Address'2286 ' Autumn
' Ridge,
' St.' Joseph,
' MI ' 49085
' Local'Phone'#'269-277-1233
' ' '
' ' ' ' ' ' ' ' Zip'
Permanent'Address'2286' Autumn 'Ridge, St.' Joseph,' MI ' ' '
49085 269-277-1233
'Phone'#(''''')''' ' '
' ' ' ' ' ' ' ' ' Zip'
Email'Address'martin.j.siemans@wmich.edu
' ' ' ' '
'
Business
Minor:__________________Overall'GPA'' ' Graduation'Date'expected ' May' 2019 ' '
'
Internship'Agency/Org.'''Point O’' Woods ' Golf and
' Country
' Club
' ' ' ' ' '
'
Site'Supervisor'Mark
' Penick
' ' ' ' Title/Position'Food' and 'Beverage ' Manager
' '
'
Mailing'Address'1516
' Roslin
' Road,
' Benton
' Harbor
' ' '' ' Michigan' ' 49022
' '
' ' ' ' ' ' City'' ' ' ' State' ' 'Zip'
' '
Phone'#'(''''')''''''''
269 944-1433' ''Fax'#'(''''')' '
269944-5585 ' 'Email'Address'mpenick@pointowoods.com
' ' ' '
'
'
Dates'of'Internship' 5/2/18
' ' ' ' ' 'N'' '8/25/18' ' ' '
' ' ' ' ''''''Begins' ' ' ' ' '''''Ends'
'
Scope'of'Internship' ' 16 ' ' ' ' 40
' ' ' ' ' '
' ' ' #'Weeks' ' ' ' #'Hrs./Week'='Total'Hours'(600'minimum)'
'
'
Attach'Typewritten'Sheet:'Applicant's'Internship'Responsibilities''
'
'
'
'
'
Applicant:' ' 'Martin Siemans
' ' ' ' ' Date''5/1/18
' '
'
WMU'Supervisor:' ' ' ' ' ' ' Date'' ' '
Recreation/Sport'Coordinator'
Or'
HPHE'Dept.'Chair:' ' ' ' ' ' ' Date'' ' '
'
'
'
Dept.'Office'Only:'''
'
Date'of'Enrollment:' ' ' ''Semester'Enrolled:' ' ' 'Cr.Hr:' ' '
WMU'Personnel'Completing'Registration:' ' ' '
'
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