personal information

Name

Address Line 1

Address Line 2

City

State/Province

Zip/Postal Code

Email Address

Telephone

Parents' Name(s)

Date of Birth

Sex

school information

High School/
Junior College

School Address

City

State/Province

Zip/Postal Code

School Counselor

GPA (4.0 scale)

College
Entrance Exam

Date of Graduation

athletic training information

ATC's Name

ATC's Telephone

Does your school have an AT?

Were you a manager or
student athletic trainer
in high school?

Do you have any
experience in injury
management on
rehabilitating injuries?

Have you taken any
athletic training related
course work?

Do you have any
intentions of pursuing
athletic training as
a career choice?

Have you attended any
athletic training camps,
clinics, or seminars?

Will you be participating
in any sports at
Saint Joseph's College?

other information

How high is your
interest in SJC?

Area of
Academic Interest

Other Schools
Interested in You

Other Important
Information