AMERICAN COLLEGE OF SPORTS MEDICINE (ACSM) LEADERSHIP & DIVERSITY TRAINING PROGRAM UNDERGRADUATE LEVEL GENERAL INFORMATION
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1 (ACSM) GENERAL INFORMATION The purpose of the Undergraduate Level ACSM Leadership & Diversity Training Program (LDTP) is to promote the establishment of ACSM membership and involvement for undergraduate students of ethnically diverse backgrounds. The program includes $ of expenses to be applied to membership of national ACSM and its Southeast Chapter (SEACSM) and attendance at the SEACSM annual meeting (February 12-14, 2015 in Jacksonville, FL). Awardees will also be paired with a mentor throughout the meeting. This program is funded by the American College of Sports Medicine. Eligibility for Undergraduate Level Program: Current FASEB-MARC Award Recipients are NOT eligible. All applicants must meet the following general criteria: 1) Be a member of a racial or ethnic minority group, as defined by the National Institutes of Health: American Indian or Alaska Native, Black or African American, Hispanic or Latino, and Native Hawaiian or Other Pacific Islander 2) Be a citizen, citizen national, or permanent resident of the U.S. or Canada 3) Be enrolled in a Bachelor level program in a sports medicine, exercise science, activity epidemiology, or a related field at a college or university in the Southeast Chapter ACSM. 1
2 REQUIRED APPLICATION MATERIALS Required Application Materials For the Program: 1) Your completed and signed application form will be evaluated for professional appearance. We will be looking for neatness, accuracy, and professional presentation. This part of the application is worth ten (10) points. 2) EXACTLY TWO letters of recommendation, one of which is from the student s advisor or from another professor, department chair, academic dean, or individual who is familiar with the applicant s capabilities and work ethic. At least one of the letters must be from a current Southeast ACSM member. This section of the application is worth ten (10) points five (5) points for each letter. 3) A description (1200-word maximum) of how you intend to exhibit your dedication to the goals and long-range activities of ACSM. Examples might include committees on which you would like to serve, participation in Southeast regional chapter activities, or anything else that describes your desired future ACSM participation. Also address your professional goals. Convince us that you are worth the investment and please be as specific as possible. We will also be looking for information about how you intend to advance diversity within ACSM. This section of the application is worth ten (10) points. 4) A summary of participation in professional development activities including campus and community activities and especially those associated with service to ACSM. Applicants with high levels of participation in regional or national ACSM-related activities (meeting attendance, presentations, student/professional activities, certifications, etc.) may be given higher consideration. Applicants with high levels professional-development activities within other organizations will be viewed favorably. This section of the application is worth ten (10) points. 5) A current CV or resume. We will be looking at your ability to present yourself professionally on paper, your academic achievements, and your professional development activities related to the typical ACSM student members areas of interest. This section of the application is worth ten (10) points. Note: Since many applicants provide outstanding recommendations, the candidate s written description serves as a key discriminator among closely qualified applicants. Application Deadline: The application deadline is midnight, Monday, October 27, Please send the completed application (to include Pages 3 & 4 of this document plus all items listed on the current page) to Dr. Paul G. Davis, LDTP Committee Co-Chair, at pgdavis@uncg.edu (please type LDTP in the subject line). Reference letters must be ed separately by recommenders (refer to page 5). All application materials are due by the deadline date. Incomplete applications will not be reviewed. Candidates will be notified of acceptance by December 12,
3 APPLICATION FORM Please complete and return with other application materials. RACIAL OR ETHNIC IDENTITY (Please check all that apply): Hispanic or Latino American Indian Alaskan Native Native Hawaiian or Other Pacific Islander Black or African American NAME: MAILING ADDRESS: TELEPHONE NUMBER: FAX NUMBER: AREA OF INTEREST: PRESENT COLLEGE/UNIVERSITY: ADVISOR S NAME: EXPECTED GRADUATION DATE: REFERENCES Name Institution ACSM member? (Y or N) 3
4 If accepted, I will: AMERICAN COLLEGE OF SPORTS MEDICINE Receive $500 towards membership, registration and travel expenses for the SEACSM Annual Meeting (February 12-14, 2015; Jacksonville, FL) Learn about careers in sports medicine Learn about participating in regional and national meetings Submit a final report regarding activities for the year. (Report due by March 1, 2015) And work toward the following outcomes: Professional membership in ACSM Increase knowledge of ACSM and its mission Meet other SEACSM student members and potential future leaders Consider future career goals and the importance of ACSM membership Consider applying for the Level 1 or Level 2 LDTP (described at upon completion of undergraduate degree Signature Date The signature of the applicant above confirms that the information stated in this application is the truth. 4
5 GUIDELINES FOR RECOMMENDATION Instructions for completion of letters of recommendations for program: Please note that the applicant will be scored based on your responses to the items below. If the information requested is not included, the applicant will lose all points on that category. Please send an with the attached recommendation letter to Dr. Paul G. Davis, LDTP Committee Co- Chair, at by the application deadline of midnight, Monday, October 27, In the subject line, please type LDTP followed by the applicant s name. Thank you. 1) Please include in body of letter: Applicant s Name Your Name Title/Position/Institution Whether you are an SEACSM member Whether you are an ACSM Fellow 2) Please provide the following information: How long and in what capacity have you known the applicant? Describe the quality of the applicant's work. What is the applicant's level of productivity? Please evaluate the applicant's level of interest and long-term potential to contribute to ACSM 3) In the letter please rate the applicant according to: General Knowledge Leadership Skills Persistence toward Goals Maturity 5
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