First Name *

Last Name *

Email *

Have you completed your FitnessGram Assessment? *
- Select Option Yes No

Please provide the date you completed your FitnessGram Assessment: *
- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 - 2023

Have you received and read your professional dispositions? *
- Select Option Yes No I don't know what the dispositions are.

Is your GPA above a 2.5? (2.7 preferred by the COE) *
- Select Option Yes No

Please provide your current overall GPA: *
Please enter a value between 0 and 4.

Have you met with your faculty advisor about scheduling? *
- Select Option Yes No I don't know who my advisor is

If you are unsure who your faculty advisor is, please reference this page: Who is my Advisor? 

Are you a member of the Physical Education Major's club? *
- Select Option Yes No

Are you a member of the leadership group for the club? *
- Select Option Yes No

Please list the events you have participated in with the Physical Education Major's club: *
Please enter 2-100 words. You currently have:

Have you collaborated with a faculty member on a paper? *
- Select Option Yes No

Are you actively coaching? *
- Select Option Yes No

Please indicate the sport and location of your coaching experience within the past year: *
Please enter 2-100 words. You currently have:

Are you currently working at the YMCA, Healthy-U, etc.? *
- Select Option Yes No

Please describe your experience with the YMCA within the past year: *
Please enter 2-100 words. You currently have:

Are you currently tutoring? *
- Select Option Yes No

Please describe your experience as a tutor within the past year: *
Please enter 2-100 words. You currently have:

Please select all conferences that you attended in the past year: *
SHAPE MI
Midwest SHAPE
SHAPE America
Other Conferences/Workshops
I did not attend any conferences

Do you currently hold a leadership position within SHAPE MI? *
- Select Option Yes No

Do you currently hold a leadership position within Midwest SHAPE? *
- Select Option Yes No

Do you currently hold a leadership position within SHAPE America? *
- Select Option Yes No

Please list the other conferences/workshops you attended in the past year: *

Did you present at SHAPE MI in the past year? *
- Select Option Yes No

Did you present at Midwest SHAPE in the past year? *
- Select Option Yes No

Did you present at SHAPE America in the past year? *
- Select Option Yes No

Did you present at the other conferences you attended in the past year? *
- Select Option Yes No

Have you applied for a grant in the past year? *
- Select Option Yes No

Have you applied for a scholarship related to Physical Education in the past year? *
- Select Option Yes No

Were you nominated for a leadership award or organization in the past year? *
- Select Option Yes No

Were you awarded Major of the Year? (GVSU/SHAPE MI/SHAPE America) *
- Select Option Yes No