This is not an application for admission to the University of Nebraska at Kearney.
Fill out all appropriate areas of the form before submitting. All items marked * are Required before the form can be submitted.
*Name: (last)
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(first)
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(M.I.)
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*Home Telephone:
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*Local Telephone:
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*Father's Name:
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or Mother's Name:
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or Guardian:
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Parent/Guardian Telephone:
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High School:
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Date of Completion:
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Did you receive a H.S. Diploma?
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H.S. Cumulative GPA:
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H.S. ACT Score:
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If no, did you receive a H.S. equivalency?
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Have you previously completed a bachelors degree?
Major:
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Have you been an Athletic Training Student prior to coming to UNK?
If yes, please indicate the type of environment.
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Please indicate where experience has taken place:
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Experience 1:
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City:
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Telephone:
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Experience 2:
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Street:
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City:
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State:
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Do you plan on participating in other activities while attending UNK such as intercollegiate athletics, Greek life, band, intramural sports?
Do you plan on maintaining a job during your educational experience here at UNK?
Do you have any other degree interests (education, second major)?
Explain:
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Please list the name and telephone numbers of at least three individuals who we may contact as references. The persons listed should be able to favorably recommend you for this program.
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Name: (Last, First)
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Telephone:
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Position/Title:
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Name: (Last, First)
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Telephone:
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Position/Title:
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Name: (Last, First)
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Telephone:
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Position/Title:
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Note: If you have been convicted of a felony, you should discuss the conviction with the program coordinator. This information will be held in strict confidence. Conviction of a felony may have an impact on candidacy for certification by the BOC and licensure in many states.
Please use the space below to type a description of the reasons you wish to be accepted into the University of Nebraska at Kearney Athletic Training Education Program. Include in your discussion the factors that have led you to make athletic training your degree choice, a description of strengths that will help you achieve this goal, & in what capacity do you wish to apply your training in your future career. Do not exceed the space provided on this application. Re-attach this page to the other portion of the application.
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