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Texas State
College of Education
Department of Health and Human Performance
Graduate Programs
Master of Science in Recreation and Leisure Services - Therapeutic Recreation
Recreation Studies Fieldwork Internship
Recreation-Studies-Fieldwork-Internship-Agency-Form
Department of Health and Human Performance
About Us
Chair's Welcome
HHP Organizational Chart
HHP Strategic Plan
Policy and Procedure Statement Index
People & Contacts
Faculty Profiles
Program Coordinators
Administrative Staff
Faculty & Staff Resources
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Advising/Closed Classes/Registration
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Backpacking Course Fee
Practicum Shirt Fee
Lab Course Materials
Undergraduate Programs
Exercise & Sports Science
Public Health
Physical Fitness and Wellness (PFW) Courses
Recreation Studies
Texas State Undergraduate Research
Graduate Programs
Master of Science in Athletic Training
Master of Science in Exercise-Sports-Science
Master of Science in Public Health Education and Promotion
Master of Science in Recreation and Leisure Services - Recreation Management
Master of Science in Recreation and Leisure Services - Therapeutic Recreation
News & Announcements
Athletic Training Students Free Injury Clinic
Beating The Heat
Dr. Kevin Miller and KSI Medical Team Help Save 39 Lives from Heatstroke
Regents’ professor among TXST faculty named in Stanford’s Top 2% Scientists list
Dr. Ting Liu receives Regents' Teacher Award for 2022
Hhp Welcomes Chinese Olympic Rowing Team Thanks To Partnership Established By Alumna
Meet Our Graduate Students
Research Project Enhances Preschoolers
Students Embark On Global Educational Expedition
Texas State And Huston Tillotson Partner To Streamline Path To M S In Exercise Science Degree
Research & Labs
Cardiovascular Physiology Lab
Community-Engaged-Scholarship
Environmental Physiology Laboratory
Exercise Physiology Teaching Lab
Metabolic & Applied Physiology Lab (MAP Lab)
Translational Neuromuscular Physiology Lab
Research News
Texas State Undergraduate Research
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College of Education
Department of Health and Human Performance
About Us
Chair's Welcome
HHP Organizational Chart
HHP Strategic Plan
Policy and Procedure Statement Index
People & Contacts
Faculty Profiles
Program Coordinators
Administrative Staff
Faculty & Staff Resources
Student Resources
Advising/Closed Classes/Registration
Certifications
Faculty-Office-Hours
Financial Aid & Scholarships
HHP and Graduate College Student Travel Funds Request
Grade Appeal Process
Graduate Scholarships
Student Needs Resources
Student Organizations
Backpacking Course Fee
Practicum Shirt Fee
Lab Course Materials
Undergraduate Programs
Exercise & Sports Science
Public Health
Physical Fitness and Wellness (PFW) Courses
Recreation Studies
Texas State Undergraduate Research
Graduate Programs
Master of Science in Athletic Training
Master of Science in Exercise-Sports-Science
Master of Science in Public Health Education and Promotion
Master of Science in Recreation and Leisure Services - Recreation Management
Master of Science in Recreation and Leisure Services - Therapeutic Recreation
News & Announcements
Athletic Training Students Free Injury Clinic
Beating The Heat
Dr. Kevin Miller and KSI Medical Team Help Save 39 Lives from Heatstroke
Regents’ professor among TXST faculty named in Stanford’s Top 2% Scientists list
Dr. Ting Liu receives Regents' Teacher Award for 2022
Hhp Welcomes Chinese Olympic Rowing Team Thanks To Partnership Established By Alumna
Meet Our Graduate Students
Research Project Enhances Preschoolers
Students Embark On Global Educational Expedition
Texas State And Huston Tillotson Partner To Streamline Path To M S In Exercise Science Degree
Research & Labs
Cardiovascular Physiology Lab
Community-Engaged-Scholarship
Environmental Physiology Laboratory
Exercise Physiology Teaching Lab
Metabolic & Applied Physiology Lab (MAP Lab)
Translational Neuromuscular Physiology Lab
Research News
Texas State Undergraduate Research
Collaboration & Outreach
Brennan Smith Lectures
Camps
Service Learning
Alumni & Friends
Alumni Association
Alumni Spotlight
Graduate Student Highlights
Texas State
College of Education
Department of Health and Human Performance
Graduate Programs
Master of Science in Recreation and Leisure Services - Therapeutic Recreation
Recreation Studies Fieldwork Internship
Recreation-Studies-Fieldwork-Internship-Agency-Form
Recreation-Studies-Fieldwork-Internship-Agency-Form
Agency Legal Name *
Facility Address *
Preferred Term of Agreement *
Terms can last 1-5 years
Affiliation Contact Information (Person signing agreement: Name Title/Position) *
Phone Number *
Email Address *
Preceptor Contact Information (Person supervising student: Name/Title Position) *
Phone Number *
Email *
Years at Agency (Note: If you’ve been at your agency less than a year you cannot accept an intern at this time) *
Qualifications of the Preceptor *
What is the mission/purpose of this agency? *
Have interns been here before?
Yes
No
Number of interns that will be on site during this placement term *
Anticipated intern duties and responsibilities *
Anticipated work schedule (Approximately 20hrs per week for Fieldwork; 30-40hrs per week for Internships *
Recreation Administration Sites (Type of Agency: Check all that apply)
Athletic
Camp
Commercial
Events
Fed Govt
Non-profit
Outdoor
Park/Facility Operations
Recreation Programming
Seniors
State Govt
Tourism
Youth
Are you interested in accepting fieldwork (pre-internship), internships, or both? (check all that apply)
Fieldwork (pre-internship = 200 hours)
Internship (Internship = 400 hours)
Which semester can you take students? (check all that apply)
Spring
Summer
Fall
Do you have at least one full-time (30 hours) recreation administration professional on staff that can supervise interns? *
Yes
No
Recreational Therapy Sites (Type of Agency check all that apply)
Adapted Sports
Camp
Commercial
Fed Govt
Hospital
Medicaid/YESS Waiver
Municipal Govt
Non-Profit
Outpatient
Rehab
Residential
Seniors
State Govt
Youth
Are you interested in accepting fieldwork (pre-internship), internships, or both? (check all that apply)
Fieldwork (pre-internship = 200 hours)
Internship (Internship = 560 hours)
Which semester can you take students? (check all that apply)
Spring
Summer
Fall
Do you have at least one full-time (30 hours) CTRS on staff that can supervise interns and has held their certification for at least 1 year? *
Yes
No
Have you completed the ATRA Quality Internship Supervisor Training? *
Yes
No
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