COKO Essential Competencies Review Project
Item Writing Session Application Form

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* 1. First name

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* 2. Last Name

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* 3. Email Address

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* 4. Primary Practice Location (City/Town)

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* 5. Years of experience as a kinesiologist
A minimum of three years of professional experience as a Kinesiologist is required

Less than 3 years

3 to 5 years

5 to 10 years

10 to 15 years

Over 15 years

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* 6. Which of the following works the best for you? Choose all that apply

	Morning	Afternoon	Evening
Monday	Monday Morning	Monday Afternoon	Monday Evening
Tuesday	Tuesday Morning	Tuesday Afternoon	Tuesday Evening
Wednesday	Wednesday Morning	Wednesday Afternoon	Wednesday Evening
Thursday	Thursday Morning	Thursday Afternoon	Thursday Evening
Friday	Friday Morning	Friday Afternoon	Friday Evening
Saturday	Saturday Morning	Saturday Afternoon	Saturday Evening
Sunday	Sunday Morning	Sunday Afternoon	Sunday Evening

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* 7. Please indicate any specific dates you are NOT available (if any)

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* 8. How would you describe your current practice?

Clinical (e.g., hospital, private clinic, community health centre, etc)

Non-clinical (e.g.: Academic institution, government, fitness facility, etc.)

Other (please specify)

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* 9. How would you describe your experience with professional writing?

Extensive – I write regularly as part of my role

Moderate – I write occasionally (e.g. reports)

Limited – I have minimal writing responsibilities

None – I have not had writing responsibilities

Other (please specify)

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* 10. Consent:

I give consent for my name and/or photograph to be used in communications (e.g., website, newsletters, etc.) acknowledging my work in relation to the Essential Competencies of Practice for Kinesiologists in Ontario review project.

Please type your full name to indicate your consent.

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* 11. Please enter today's date to grant us your consent

Date

COKO Essential Competencies Review Project Item Writing Session Application Form

Question Title

* 1. First name

Question Title

* 2. Last Name

Question Title

* 3. Email Address

Question Title

* 4. Primary Practice Location (City/Town)

Question Title

* 5. Years of experience as a kinesiologist *A minimum of three years of professional experience as a Kinesiologist is required*

Question Title

* 6. Which of the following works the best for you? Choose all that apply

Question Title

* 7. Please indicate any specific dates you are NOT available (if any)

Question Title

* 8. How would you describe your current practice?

Question Title

* 9. How would you describe your experience with professional writing?

Question Title

* 10. Consent:I give consent for my name and/or photograph to be used in communications (e.g., website, newsletters, etc.) acknowledging my work in relation to the Essential Competencies of Practice for Kinesiologists in Ontario review project.Please type your full name to indicate your consent.

Question Title

* 11. Please enter today's date to grant us your consent

COKO Essential Competencies Review Project
Item Writing Session Application Form

* 5. Years of experience as a kinesiologist
A minimum of three years of professional experience as a Kinesiologist is required