Student Leadership Committee State Delegate Application

Application Deadline is February 24th, 2017

Utilize this application only if your state uses this process to select SLC Delegates

MAATA Athletic Training Student Leadership Council State Delegate Application

Biographical Information

First Name *

Last Name *

College/University *

Student Address (at School) *

City

State * AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY

Phone Number *

Email Address *

Number of Credits Earned Toward AT Degree *

Year in AT Program (What year will you be in your program starting next fall) *

Sophomore Junior Senior Second Year Professional MS

Cumulative GPA *

GPA in the Major *

Graduation Year *

NATA Membership # *

I have been a member since (mm/yy) *

Memberships/Certifications

Honors/Awards

Organizations/Activities (include any offices held)

Conferences attended

Essay

The NATA has shown a decrease in student involvement over the past several years. In an essay of 500 words or less, identify what you think is causing the lack of student involvement and come up with a solution to the problem.

Resume Upload *

Drop a file here or click to upload Choose File

Maximum upload size: 268.44MB

Please upload a copy of your resume. (Word DOC/DOCX or PDF)

By submitting this application, I understand that this position requires my attendance at the MAATA Annual Meeting and Symposium and strongly encouraged at the NATA Annual Meeting and Clinical Symposia *

Agree

Disagree

Signature

Clear

To submit a Letter of Recommendation, please submit a Letter of Recommendation  to:

smcometto1@umary.edu