Gardner-Webb University :: Athletic Training

Prospective Athletic Training Student Information Form

We would love to hear from future athletic training students interested in the athletic training major. If interested, please complete the following form. This information will be sent to Ashley White, MS ATC - Athletic Training Educational Program Director.

Name: (use full name as it appears on official records)
Date:
Nickname or Preferred Name:
Permanent Street Address:
City: State: Zip:
Phone:
Date of Birth: Social Security Number:
Parents/Guardian Name:
E-Mail Address:

Education
High School:
High School City: State:
Class Rank (out of how many students): / SAT/ACT:
High School GPA: Date of Graduation:
High School Athletic Trainer:
High School Athletic Trainer Phone:

College:
College City: State:
Major: Hours completed: Cumulative GPA:
Present Rank:
Freshman
Sophomore
Junior
Senior
Documented hours as an Athletic Training Student:

Athletic Training Experience

Institution or Organization:
Dates:

Have you applied and been accepted to Gardner-Webb University?
How did you hear about Gardner-Webb's Athletic Training Program?
Why do you want to be a Certified Athletic Trainer?

Gardner-Webb University; Boiling Springs, North Carolina 28017 USA (704) 406-4000
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