Athletic Training Early Assurance Application

Athletic Training Early Assurance

Name(Required)

First Last

MUID Number (901/903-XXX-XXX)(Required)

MU Major Declared(Required)

Date of Birth(Required)

Email(Required)

Phone Number(Required)

Alternate Phone Number

Demographic Data (Check all that apply)

Parent/Guardian Information

The information requested in this section is utilized to meet Federal and State requirements. Your optional but important responses will not be used in the admission process. College and universities are asked by many, including the federal government, accrediting associations, college guides, newspapers, and our own college/university communities, to describe the racial/ethnic backgrounds of our students and employees.

Home Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Primary Parent/Legal Guardian Name(Required)

First Last

Primary Parent/Guardian Type(Required)

Parent

Guardian

Other

Primary Parent/Guardian Status(Required)

Living

Deceased

Primary Parent/Guardian's Highest Level of Education(Required)

Primary Parent/Guardian's Current Occupation(Required)

Secondary Parent/Legal Guardian Name

First Last

Secondary Parent/Guardian Type

Parent

Guardian

Other

Secondary Parent/Guardian Status

Living

Deceased

Secondary Parent/Guardian's Highest Level of Education

Secondary Parent/Guardian's Current Occupation

High School Information

High School Name(Required)

School Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

School Counselor's Name(Required)

First Last

School Counselor's Email(Required)

High School Class Rank(Required)

# of College Hours Earned (e.g. CLEP, dual and/or AP credit)(Required)

Current Un-Weighted GPA at Time of Application(Required)

Highest Composite ACT/SAT from a Single Test Date(Required)

Please list up to 5 honors and awards you have received in high school and why they are relevant to our program.(Required)

Please list up to five extracurricular activities in which you have been involved in the last three years that were meaningful to you and why. (Club memberships, volunteering, hobbies, community service, etc.)(Required)

If you have ever had a high school disciplinary action against you, please explain.(Required)

If you have ever been convicted of a felony (conviction only, not arrests), please explain.

If you are not accepted into the Athletic Training Early Assurance Program, what are your plans? (Limit 500 words).(Required)

Please tell us about a personal challenge that you encountered and how you dealt with it. (Limit 500 words).(Required)

In essay form, please explain why you are interested in athletic training as a career, and what unique skills or characteristics you will bring to the Athletic Training Early Assurance Program if accepted. (Limit 500 words).(Required)

References

Reference #1 Name(Required)

First Last

Reference #1 Email(Required)

Reference #1 Title/Position(Required)

Reference #1 School Name/Company(Required)

Reference #2 Name(Required)

First Last

Reference #2 Email(Required)

Reference #2 Title/Position(Required)

Reference #2 School Name/Company(Required)

The Family Education Rights And Privacy Act Of 1974 (FERPA)

To be read by the applicant prior to submission of recommenders' information. The Family Education Rights and Privacy Act of 1974 (FERPA) is a federal law protecting the confidentiality of student education records. I understand that (1) I have the right not to consent to the release of my education records; (2) I have the right to receive a copy of such records upon request; (3) and that this consent shall remain in effect until revoked by me, in writing, and delivered to Marshall University, but that any such revocation shall not affect disclosures previously made by Marshall University prior to the receipt of any such written revocation. In accordance with FERPA, I the undersigned, hereby authorize the person receiving a request to write a letter of recommendation in which he/she may reference educational records and information, such as grades, GPA, internships, school activities, disciplinary issues, and other related information for the purpose of applying to the Marshall University Athletic Training Early Assurance Program.

Family Educational Rights & Privacy Act Waiver:(Required)

Yes, I waive my right of access to this recommendation, granted under the provisions of the FERPA. By waiving this right, Marshall University will consider the recommendation confidential and I understand I will not have access to the letter.

No, I do not waive my right of access to this recommendation, granted under the provisions of the FERPA. The person submitting the recommendation will be informed as to the waiver status.

Signature for FERPA Waiver (Type full name below)(Required)

Parent/Legal Guardian Signature for FERPA Waiver (Type full name below)(Required)

Who or what influenced you most in your decision to apply for admission to Marshall University's Athletic Training Early Assurance Program? (Please check all that apply.)(Required)

Agreement & Signature

By submitting this application, I hereby certify all my answers are true and accurate to the best of my ability. I hereby certify I have read and understand the information as presented in this application and I agree if accepted, to abide by the rules of the Athletic Training Early Assurance Program. I also certify I have read and understand the Special Services, Equal Opportunity Policy Statement, the Annual Security and Fire Safety report, The Consumer Information and Disclosure policy statements included in the undergraduate application information. I understand the Athletic Training Early Assurance Program will be governed by an honor code that requires honesty, integrity, and non-discrimination in my interactions with others, and that a breach of this code could result in expulsion from the program.

Signature (Type full name below)

Today's Date

Accreditation

The Marshall University Master of Science in Athletic Training Program is accredited by the Commission on Accreditation of Athletic Training Education (CAATE), 2001 K Street NW, Third Floor North Washington, DC 20006.

Contact

For more information about the Marshall University Athletic Training Program, please contact Dr. Zach Garrett at garrett46@marshall.edu.