KATS Student Scholarship Application

Contact Information

First Name(*)

Please type your first name.

Middle Name

Last Name(*)

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Home Street Address(*)

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Apt #

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City(*)

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State(*)

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Zip(*)

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School Street Address(*)

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Apt #

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City(*)

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State(*)

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Zip(*)

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Home Phone(*)

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School Phone(*)

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Email(*)

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Date of Birth(*)

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Age(*)

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Educational Information

High School(*)

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City(*)

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State(*)

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Zip(*)

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Undergraduate College or University(*)

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Undergraduate Major(s)(*)

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Undergraduate Minor(s)(*)

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Graduate College or University

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Cumulative GPA (current)(*)

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GPA in Major Field(*)

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Grade Point Scale(*)

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Please upload your transcript(*)

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Membership

Are you a current member of NATA?(*)

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Year and Month Membership Began(*)

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If not a current NATA member (being an NATA member automatically makes you a KATS member), are you a current member of KATS?(*)

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When did you begin your KATS membership?(*)

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Are you currently serving as an athletic training student?(*)

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Name of Supervising Athletic Trainer(*)

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How many years of experience have you had as an athletic training student?

High School(*)

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College/University(*)

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Are you currently planning to make athletic training your primary field of professional endeavor after graduation?(*)

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If not, what occupation do you plan to enter?(*)

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Biographical Sketch

In the space provided, please answer each question to accurately describe yourself.

Name the one individual who most greatly influenced your decision to enter the field of athletic traning and explain why.(*)

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List your current and past athletic training involvement and explain your responsibilities.(*)

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List any volunteering done in community service organizations, after high school, unrelated to athletic training. Please explain your involvement.(*)

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List leadership positions held along with responsibilities and accomplishments (not including high school).(*)

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Please upload your résumé(*)

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Endorsing Athletic Trainer

Each certified athletic trainer may endorse only ONE student for the KATS scholarship. Please list your endorsing athletic trainer's information below. They will be asked to verify they have endorsed this scholarship applicant based on the candidate's athletic training abilities and verify that he/she meets all requirements as set forth in the scholarship criteria.

Name of Endorsing Athletic Trainer(*)

Please type your first name.

Membership Number(*)

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Certification Number(*)

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Email(*)

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Phone(*)

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Certification

I certify that the information contained in this application is correct and accurate to the best of my knowledge.

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Antispam(*)

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KATS Student Scholarship Application

Contact Information

Educational Information

Membership

Biographical Sketch

Endorsing Athletic Trainer

Certification

Contact Us

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