Sports Medicine After school Application
Thank you for your interest in joining the Perry Sports Medicine Athletic Training Student Aide Program.  Students in this program are exposed to a unique opportunity to work with the various Perry Athletic Programs providing medical care to all athletes.  Students accepted into this program work with the certified Athletic Trainers to learn and apply Athletic Training concepts to the high school athletes.   Please fill out and submit all information requested by the first Friday of School.  All applicants MUST report to the Athletic Training Room for their interview week starting the following MONDAY.  Report time will be immediately after school to the Athletic Training Room -- wear athletic clothes and tennis shoes.  You will be informed the following Friday if the staff Athletic Trainers accept you onto the team.


Observing for:

Attitude
Punctuality
Efficiency
Willingness to Learn
Teamwork/Interpersonal Skills
Professionalism

Sign in to Google to save your progress. Learn more
Email *
What is your Last Name? *
What is your First Name?
What grade will you be in 2020-2021 School Year? *
Required
Are you currently CPR Certified? *
Required
What sports medicine class are you in for the 2020 2021 school year? *
Required
If you marked that you are NOT taking a sports medicine class in the school year 2020-2021, Have you previously taken Sports Medicine 1?  If so what year? *
Have you ever failed a class? If yes, explain *
Have you ever had any disciplinary action taken against you? If yes, explain.
List sports, recreational activities, clubs, and leadership positions you currently participate in or hold: *
List sports, recreational activities, clubs, and leadership positions you participated in or held in the past: *
Why are you interested in becoming an athletic training student aide?  Why should we choose you to be a student sports aide? *
Are you interested in pursuing a career in Athletic Training, Sports Medicine, Physical Therapy or other health care provider?Explain *
Are you willing to commit to one year of volunteer work that may include time on weekends and holidays? *
Required
Do you play or are planning to play a sports for Perry High School?  If yes, which one and level? *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms