Center for Exercise Medicine

APPLICATION FOR CLINICAL RESEARCH INTERNSHIP

First Name    
Middle Name        
Last Name    Suffix    
Address1  
Address2
City State    Zip   
Phone   Email

Name of Educational Institution   
Degree Program
Current GPA
Term of Requested Internship

QUALIFICATIONS:

  • UNDERGRADUATE OR GRADUATE STUDENT IN GOOD STANDING
  • MAJOR IN EXERCISE PHYSIOLOGY/KINESIOLOGY or similar related major
  • CURRENT CPR CERTIFICATION
  • 3.0 GPA UNDERGRADUATE or 3.5 GPA GRADUATE
  • MUST HAVE B OR HIGHER IN: Exercise Physiology, Biomechanics/Kinesiology, Exercise Prescription or Equivalent
 
Summarize relevant experience and extracurricular activities.
 

Advisor First Name Last Name
Advisor Phone Advisor Email

Submit the following with the completed application form:

Unofficial Transcript File Size Limit 75 MB
Resume File Size Limit 75 MB
By submiting this form, I certify that the above information is correct and that all qualifications for this internship are met.