Athletic Training Application

First Name First Name is required

Last Name Last Name is required

Email Email is required and must be in the format email@domain.com

Confirm Email Confirm Email is required and must be in the format email@domain.com

Address

City

State

Zip Code

Cell Phone

Birth Date

High School Attended

High School City

High School/GED Graduation Year

Parent/Guardian Name

Parent/Guardian Phone

Have you taken the SAT or ACT? Have you taken the SAT or ACT? is required

Which of the Following Applies to You?

Write a brief summary of your experiences as a student trainer. Describe your duties, responsibilities, etc.

Please list any academic and/or community achievements:

Please list any personal or professional goals:

Please explain why you would like to pursue a career as an athletic trainer: