KINE 4401 Kinesiology Internship

Kinesiology Intern Student Orientation Report

20 Points
(SLO11, SLO14)

The kinesiology internship is a self-directed, supervised, practical learning experience. It

provides you with an opportunity to engage in practical application of theoretical knowledge
that takes place in the realm of a real world setting of your choice. You can intern in or outside of
HT. The internship orientation report is designed to enable the student share detail information
about the internship site, reasons for the internship, a substantive description of the expected
outcomes form the internship and other relevant information. To facilitate completion, a
kinesiology student orientation report form is available in the next page for students to use to
complete this assignment.

Instructions

A. General information. Name, local address, work phone number, schedule and other pertinent
information.

B. Job analysis
 Name. General description and history of agency, as well as name(s) of immediate agency
supervisor(s).
 Statement of duties and responsibilities, including time schedule, activities, place of operation
and related information.
 Description of the participants with whom the field training will be done.
 Facilities, equipment and similar factors.
 Other information, such as your impression of the agency’s operations and facilities.

C. Plan of action
 Personal goals and objectives in the internship.
 How do you plan to achieve these goals?
 Kinesiology Student Orientation Report Form

I. About You:

First Name: ________________________________________ Last Name: ________________________________________

HT ID: _____________________________ HT email: __________________________________________________________

II. Internship Information

Company Name: ___________________________________________________________________________________________

Address: ____________________________________________________________________________________________________

Supervisor’s Name: _______________________________________________________________________________________

Phone Number: ________________________________________ Email: ______________________________________

III. General description and history of agency:

IV. Statement of your duties and responsibilities, including time schedule, activities, place
of operation and related information.

V. Describe the participants (or clients) with whom the field training (or internship tasks,
services) will be done, the facilities, equipment and similar factors.

VI. Use this space to provide any other information, such as your impression of the
agency’s operations and facilities.

VII. Plan of Action

COLUMN 1: Develop three SMART goals---personal goals and measurable objectives for the
internship.

COLUMN 2: How do you plan to achieve these goals?

[COLUMN 1] [COLUMN 2]
SMART Goal Describe your plan
Goal 1
Goal 2
Goal 3