Prospective Student Athletic Trainer Questionnaire

Email Secondary Email

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Email address *

First name *

Last name *

Address 1 *

City *

State *

ZIP Code *

Phone Number *

Parents/Guardians Name *

Scholastic Information

Year/Month of Graduation

High School

High School Location

High School Athletic Trainer

High School Athletic Trainer Phone Number

High School Counselor

High School Counselor Phone Number

High School GPA (4.0 Scale)

Planned College Major

List the Top 3 College You are Planning to Attend

Have you ever worked as a Student Trainer?

Please list the sports you have worked, or are interested in working.

Please give a short description of your work ethic and how you would be a good fit for the FSCC sports medicine program.

* required field