Kinesiology
Email This Page button

Application Material


Program Application (AKS or BMSP)

Please complete this online form to apply for either the Applied Kinesiology Semester or the Balance and Mobility Summer program. To ensure that classes will not be canceled due to low enrollments, students are asked to register by November 15th for the full semester program and by March 1 for the summer program. A late fee of $25 per class will be charged for registering after these due dates. Once the registration is processed, applicants will receive a bill in the mail from Gordon's Student Financial Services office. All transactions must be processed through this office. Please print this form for your records, PRIOR to submission.

1. Academic year of application:

Spring 2009
Summer 2009
Spring 2010
Summer 2010

2. 2. Please select the program that you would like to apply to from the following choices:

3. If you chose the Applied Kinesiology Semester Program, will you require housing on the Gordon College Campus? (see F.A.Q. link for specifics on current costs)

Yes
No

4. If you chose the C.E.U. or the Student Balance and Mobiility Summer Program, will you be requiring on-campus accomodations?

5. Please enter your last name:

6. Please enter your first name:

7. What is your gender?

Male
Female

8. Please enter the street address and apartment number (if applicable) where you can best be reached:

9. Please provide the name of the city or town where you can best be reached:

10. And now, the state where you reside (please use abbreviation)

11. What is the corresponding zip code for this address?

12. At what telephone number may you most easily be reached?

13. Please provide your e-mail address:

14. Name of academic institution you are currently attending (undergraduates only)

15. What is the name of the undergraduate degree you are working on or have already completed?

16. What is the name of the institution at which you will complete or have completed this degree?

17. If you are currently employed, please describe the work you do.

18. Current employers name and address:

19. Please select all of the following courses that you have had, including those your are taking presently:

Anatomy/Physiology
Exercise Physiology
Clinical Exercise Physiology
Motor Control and/or Learning
Biomechanics
Athletic Training
Neurophysiology
Gerontology
A course dealing with disorders of human movement
A course in research design and methods
A course dealing with orthopedic physical therapy
A course in vestibular physiology and rehabilitation

20. List any other courses you think might be pertinent (optional):

21. How did you hear about the Clinical Kinesiology Program?

22. Statement of Compliance and Respect : Upon admittance to any Gordon College graduate course, I agree to comply with the behavior standards of Gordon College while on Gordon’s campus or at any other class site.

Agree
Disagree



Please enter the code you see above.