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OATA Scholarship Application Page
OATA Scholarship Application
Student Demographic Information
First Name
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Middle Initial
Last Name
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Date of Birth
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mm/dd/yyyy
Phone Number
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Email Address
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Local Street Address
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City
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State
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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
Zip Code
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Permanent Street Address
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City
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State
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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
Zip Code
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Undergraduate College/University
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Major(s)
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Minor(s)
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GPA in Major
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Overall Cumulative GPA
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GPA Scale
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4.0
5.0
Graduate University
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Graduate GPA
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Are you a member NATA?
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Yes
No
Year NATA Membership began?
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Oklahoma Apprentice Athletic Trainer License Number
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Are you currently planning to make athletic training your primary field of professional endeavor after graduation?
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Yes
No
Name of nominating athletic trainer
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Athletic Training Related Experiences
Provide details on your athletic training experiences thus far.
For all of Section II, please include dates using descending chronological order (start with most recent) [January 2017, Fall 2015, etc].
Clinical athletic training experiences. List your clinical athletic training experiences you have completed within your athletic training education program.
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Community service in athletic training. List your service if you have used your skills as a supervised first responder (e.g., recreational events, marathons, state/city games, and/or Special Olympics). These are times you have served as an athletic training student outside of your academic clinical assignment.
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Association Membership related to Athletic Training or Allied Healthcare. Provide a list of your memberships. This includes but is not limited to NATA, District, State committees, other allied healthcare professional organizations, and College/University athletic training groups. Indicate your role (e.g., Member, President, Vice-President, Treasurer, Secretary, etc.)
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Professional Development, Presentations, or Publications related to athletic training domains. Provide a list of your professional development opportunities, presentations, or publications during your academic career. This includes conferences you have attended and any presentation or publication you have made (i.e., posters or other mediums) as a student.
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Student Activities
Provide any involvement in other activities outside of athletic training.
For all of Section II, please include dates using descending chronological order (start with most recent) [January 2017, Fall 2015, etc].
Activities/Clubs/Community or Civic Service (not related to athletic training). Provide a list of involvement in your local, regional, or state service activities. This includes but is not limited to fraternities, sororities, honor societies, or church/civic groups. Indicate your role (e.g. Member, President, Social Chair, etc.)
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Previous awards and honors. Provide a list of your previous awards and honors (e.g., Eagle award for consistent leadership)
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Short Answer Essays
Provide your answers to the short essays below.
Question 1: Identify and describe your most meaningful athletic training experience (classroom, clinical assignment, job, or research lab) and how it has influenced your future career goals).
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Visual
Text
Question 2: Explain a situation where you served as a leader during: a group project, an organized work project or activity, or a community service project. Explain in detail your role and how individuals responded to your leadership.
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Visual
Text
Question 3: In your opinion, what is one of the most important issues facing athletic trainers in today’s healthcare community and what role do you hope to play in addressing this issue?
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Visual
Text
Unofficial Transcripts
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Maximum upload size: 268.44MB
Upload an unofficial copy of your transcript (PDF format only).
Official copies of transcripts will be requested before scholarships are awarded.
Signature
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With my signature, I hereby confirm that all of the foregoing information is true and correct.
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