Scholarship test page BIOGRAPHICAL INFORMATION Scholarship Applying For * Professional Undergraduate ScholarshipProfessional Graduate ScholarshipPost-Professional Scholarship First Name * Middle Name Last Name * Local Address * City * State * Zip Code * Home Address * City * State * Zip Code * School Phone * Home Phone * Email Address * Date of Birth * PROFESSIONAL EDUCATIONAL INFORMATION Current College/University * Undergraduate College/University * Major(s) * Minor(s) GPA in Major * Overall GPA * Grade Point Scale * 4.0 5.0 What is your academic year in your accredited program? * JuniorSenior How many semesters have you completed in your master's program? (Summer counts as 1 semester) * 12345+ Have you won a previous MAATA Scholarship Award in the Professional Undergraduate category? * YesNo Have you won a previous MAATA Scholarship Award in the Professional Graduate category? * YesNo Have you been accepted to a Post-Graduate School * Yes No Current Post-Graduate University * Date of Application Submission * Are you a member of the NATA? * YesNo Year membership began? * Enter your NATA member number: * NPI Number * Are you a member of District V? * NoYes What is your current position? * Are you currently serving as a graduate assistant athletic trainer? * Yes No Name of nominating Athletic Trainer * Nominating athletic trainer may not be oneself Nominating Athletic Trainer Years of Experience * Are you currently planning to make athletic training your primary field of professional endeavor after graduation? * Yes No If no, what occupation do you plan to enter? * BIOGRAPHICAL SKETCH Who were the key individuals and what were the important factors that influenced your decision to enter the field of athletic training. * How have you participated in athletic training since your interest in the field began? Include sports, teams, or areas where you have been involved in the practice of athletic training. * List any athletic training experiences/volunteer athletic training experiences outside of assigned clinical rotations: * List any honors or awards you have received, research conducted (outside of class assignments), presentations you have done at your current College/University. * Describe any participation in athletic training related organizations, clubs, activities (including research), memberships related to your athletic training program or the athletic training profession. * Describe any participation in community organizations or associations unrelated to athletic training. Also, describe any previous employment experiences which have helped you supplement your education. * What are your short term (1-2 years) and long term (5 to 10 years) professional goals ? * Resume * Drop a file here or click to upload Choose File Maximum file size: 10MB Please upload a one page copy of your resume (preferably in PDF or DOC/DOCX form) Unofficial Transcript * Drop a file here or click to upload Choose File Maximum file size: 10MB Please upload an unofficial copy of your transcript (PDF format only) SIGNATURE Full Signature Name * Signature * Clear You may use your mouse, trackpad or touch screen to sign If you are human, leave this field blank.