JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Walter R. Lowe Scholarship - Nomination Form
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Nominating AT's Name
*
Nominating AT must be a GHATS Member in good standing (Registered as GHATS Member between 09/01 and 12/01 of the current Membership Cycle)
Your answer
Nominating AT's Email
*
Your answer
I certify that I am the Program Director/Lead Athletic Trainer at the following Junior College/Community College/Undergraduate Program/Graduate Program:
*
Your answer
Name of Nominee
*
Your answer
Email of Nominee
*
Your answer
I certify and attest that the nominee is a current student in the Sports Medicine/Athletic Training Program at my campus AND has not passed either the Texas LAT or BOC exam(s).
*
Yes
No
Explain why your nominee should receive this award
*
A short descriptive paragraph
Your answer
Privacy Disclosure
By submitting the required items for consideration of a scholarship/ award, you are providing the Greater Houston Athletic Trainers Society (GHATS) with permission to use the submitted photo and information.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
