Salisbury University Athletic Training Program Application for Admission

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Salisbury University
Athletic Training Program
Application for Admission
The completed application, along with all supporting documents, must be
submitted to the office of the Athletic Training Program Director by 5:00pm
Friday, November 21, 2014 in order to be considered for admission to the
Salisbury University Athletic Training Program beginning in spring semester
2015.
Salisbury University
Athletic Training Program
Requirements for Admission
Requirements for Admission into the Athletic Training Program at Salisbury University
include the following course completion:
1.
2.
3.
4.
5.
6.
7.
8.
ATTR 210 Foundations of Athletic Training
BIOL 215 Anatomy and Physiology I
BIOL 216 Anatomy and Physiology II
CMAT 100 or 205 or 250 Communications Course
MATH 155 Modern Statistic with Computer Analysis
PHEC 106 Personalized Health and Fitness
PHYS 121 General Physics I or CHEM 121 General Chemistry I
PSYC 101 Introduction to Psychology
Additional Academic requirements include:
1.
2.
3.
4.
Current CPR/AED certification.
Overall grade point average of a 2.8 on a 4.0 scale
“C” or better in all prerequisite courses
One hundred (100) hours of completed observation at Salisbury University or and
approved affiliate clinical site.
Upon Application to the Athletic Training Program, the following materials must be
submitted the Athletic Training Program Director
1.
2.
3.
4.
5.
6.
7.
Completed Application
Two (2) Letters of Recommendation
Three (3) Observation Evaluations
Signed Technical Standards
Signed Athletic Training Procedure Manual Statement
Clinical Experience Verification Form (hours to date)
Completed physical examination (within six months of the application due date and
prior to the start of spring semester).
8. Verification of current immunizations.
9. Verification of Hepatitis B vaccination series commencement or signed waiver
10. Verification of Negative TB Test or Negative (-) Chest X-Ray within six months of
the application due date and prior to the start of spring semester.
Once applicant has submitted their completed application, the Athletic Training Program
Selection Committee will admit students based upon the above academic prerequisites, letters
of recommendation, competency examination performance, clinical experiences at Salisbury
University, formal interview with the committee and personal and professional traits.
Students who have formally applied to the Athletic Training Program will receive a decision in
writing by the Athletic Training Program Director by the last week in December of the
application year. Acceptance into the ATP at Salisbury University will fall under the following
categories:
1. Accepted: A student is unconditionally admitted into the Athletic Training Program.
Students must maintain all eligibility requirements as stated in the most recent
edition of the Salisbury University Athletic Training Program Procedure Manual to
remain in good standing.
2. Conditional Admittance: A student is admitted into the Athletic Training Program on
a conditional basis. The student will be give a specific date to rectify any
deficiencies to the minimum eligibility standards. During the conditional admittance
period the student must maintain all other eligibility requirements as stated in the
most recent edition of the Salisbury University Athletic Training Program Procedure
Manual to remain in good standing.
3. Wait-Listed: A student is not accepted or denied admission at this point due to
extenuating circumstances or circumstances beyond the student’s control. Waitlisting of a student will be on a discretionary basis as determined by the Athletic
Training Program Selection Committee.
4. Not Accepted: The student has been denied admission into the Athletic Training
Program. Students will be required to meet with their academic advisor to discuss
options regarding the major. Students may opt to reapply for admission during the
next application period provided they meet all appropriate admissions criterion at
that time.
Salisbury University
Department of Health and Sport Sciences
Athletic Training Program
November 21, 2014
Application for Admissions
Must Be Typed
Section I: General Information
Name:
Last, First Middle
Local Address:
Home Address:
Local Phone:
Home Phone:
Cell Phone:
e-mail
Date of Birth:
Student ID#:
Release of Information
I,
permit Salisbury University faculty and staff of the Athletic Training Program to access my
academic information as criteria for acceptance into the program and during each semester I am
enrolled in the program.
Signature:
Date:
Section II: Educational Background
Please list all educational institutions you have attended since high school. Please list these in
reverse chronological order.
School
Location
Dates of
Attendance
Degree
Earned/Major
For each of the following courses, please list the institution where the course was taken and the grade
obtained. If the course is currently in progress, please put “IP” in the grade.
Course
Institution
ATTR 210 Foundations of Athletic Training
Salisbury Univ. req.
BIOL 215 Anatomy and Physiology I
BIOL 216 Anatomy and Physiology II
CHEM 121 General Chemistry I
PHEC 106 Personalized Health and Fitness
PHYS 121 General Physics I
PSYC 101 Introduction to Psychology
MATH 155 Modern Statistics with Computer Analysis
Dates
Grade
Section III: Clinical Experiences
Have you completed 100 hours of athletic training observation at SU? YES
(Please provide documentation)
NO
Do you have any additional experiences in the field of athletic training (Please explain)?
How many hours of additional experience did you complete?
Section IV: Activities
Please list all extracurricular activities, organizations, etc. in which you are active.
Include offices/positions held, etc.
Section V: Additional Information
Do you expect to make athletic training your primary career choice?
Yes
No
Yes
No
Yes
No
If no, please explain:
Do you hold any professional certifications (EMT, PTA, PT, etc.)?
If yes, please list:
Do you hold any other certifications (CPR/AED, First Aid, etc)?
If yes, please specifically list:
Section VI: References
Please list the names and email addresses of the two individuals who you have asked to complete
the recommendation forms.
1.
2.
Section VII: Essay
On a separate sheet of paper, please prepare and attach a carefully written statement for each of
the following. Please limit your responses to one page.
1. What influenced you to consider athletic training as a major?
2. Please describe and explain the most rewarding or influential experience that you have
had during the required 100 hours of observation as a prospective athletic training
student.
Salisbury University Athletic Training Major
Technical Standards for Admission
The Athletic Training Program at the Salisbury University is a rigorous and intense program that places
specific requirements and demands on the students enrolled in the program. An objective of this
program is to prepare graduates to enter a variety of employment settings and to render care to a wide
spectrum of individuals engaged in physical activity. The technical standards set forth by the Athletic
Training Program establish the essential qualities considered necessary for students admitted to this
program to achieve the knowledge, skills, and competencies of an entry-level athletic trainer, as well as
meet the expectations of the program's accrediting agency. The following abilities and expectations must
be met by all students admitted to the Athletic Training Program. In the event a student is unable to fulfill
these technical standards, with or without reasonable accommodation, the student will not be admitted
into the program. Compliance with the program's technical standards does not guarantee a student's
eligibility for the Board of Certification exam. Candidates for selection to the Athletic Training Program
must demonstrate:
1. The mental capacity to assimilate, analyze, synthesize, integrate concepts and problem
solve to formulate assessment and therapeutic judgments and to be able to distinguish
deviations from the norm;
2. Sufficient postural and neuromuscular control, sensory function, and coordination to perform
appropriate physical examinations using accepted techniques; and accurately, safely and
efficiently use equipment and materials during the assessment and treatment of patients;
3. The ability to communicate effectively and sensitively with patients and colleagues, including
individuals from different cultural and social backgrounds; this includes, but is not limited to,
the ability to establish rapport with patients and communicate judgments and treatment
information effectively. Students must be able to understand and speak the English
language at a level consistent with competent professional practice;
4. The ability to record the physical examination results and a treatment plan clearly and
accurately;
5. The capacity to maintain composure and continue to function well during periods of high
stress;
6. The perseverance, diligence and commitment to complete the athletic training education
program as outlined and sequenced;
7. The ability to adjust to changing situations and uncertainty in clinical situations;
8. Affective skills and appropriate demeanor and rapport that relate to professional education
and quality patient care.
Candidates for selection to the athletic training program will be required to verify they understand and
meet these technical standards or that they believe that, with certain accommodations, they can meet
the standards. The Salisbury University Services for Students with Disabilities will evaluate a student
who states he/she could meet the program's technical standards with accommodation and confirm that
the stated condition qualifies as a disability under applicable laws.If a student states he/she can meet the
technical standards with accommodation, then the University will determine whether it agrees that the
student can meet the technical standards with reasonable accommodation; this includes a review of
whether the accommodations requested are reasonable, taking into account whether accommodation
would jeopardize clinician/patient safety, or the educational process of the student or the institution,
including all coursework, clinical experiences and internships deemed essential to graduation.
Students not requiring accommodations
I certify that I have read and understand the technical standards for selection listed above, and I believe
to the best of my knowledge that I meet each of these standards without accommodation. I understand
that if I am unable to meet these standards I will not be admitted into the program.
Signature of Applicant
Printed Name
Date
Salisbury University Athletic Training Major
General Requirements of the Athletic Training Program
1. Students must complete all required courses for admission to the Athletic Training Program.
Students must obtain a required overall Grade Point Average of 2.80 and a “C” or better in
prerequisite courses. Students must also successfully complete an interview prior to admission
to the Athletic Training Program.
2. Students in this program must complete one hundred hours of clinical experiences as a
prospective athletic training student at Salisbury University.
3. Students in this program, in addition to normal weekday practices and competition, may be
required to return in early August, during vacation periods and/or during weekends if their clinical
assignment includes sport practices or competitions during these times. Also, students may be
assigned high school or clinical experiences with affiliated settings. Students will be required to
supply their own transportation to and from clinical sites. In cases where students are assigned
to affiliated clinical sites, the cost of transportation to and from the site will be paid by the
student. Assignments to clinical education sites are based on accreditation mandates and upon
the needs of the individual student as assessed by the Clinical Coordinator. Clinical experience
assignments will be made as early as possible by the Clinical Coordinator, however these
assignments are subject to change at any time.
4. Students in this program are required to maintain an overall 2.80 grade point average and a
grade of “C” or better in all required ATTR, PHEC, and EXSC courses in order to remain in this
program. Failure to do so may result in probation from or dismissal from the Athletic Training
Program.
5. Students must provide verification of medical clearance through a personal physical examination
and physical statement.
6. Students must read and sign the Technical Standards required of the Athletic Training Program.
7. Students must provide proof of current immunization for the following:
a.
b.
c.
d.
Negative PPD after January of the application year
Hepatitis B Vaccine (or waiver)
Tetanus Booster
Measles, Mumps and Rubella (MMR)
8. Students in this program are required to join the National Athletic Trainer’s Association and
purchase supplies and uniforms prior to entering the program.
I,
Signature
understand and agree to comply with the above regulations.
Date
Salisbury University Athletic Training Major
Athletic Training Program Procedure Manual Statement
By signing this form, I acknowledge that I have read and familiarized myself with the current edition of
the Athletic Training Program Procedure Manual.
Additionally, I understand the contents of this document and how the policies and procedures of
Salisbury University’s Athletic Training Program will impact my progress in the program.
I also understand that the policies and procedures established in future editions of the Athletic Training
Program Procedure Manual supersede all previous policies and procedures of the Athletic Training
Program.
I am also aware that the most current edition of the Salisbury University Athletic Training Program
Procedure Manual can be found on the Salisbury University Athletic Training Program web site.
Finally, I have spoken with the Athletic Training Program Director to discuss any questions or concerns I
have regarding the contents of the Athletic Training Program Procedure Manual.
Signature of Applicant
Printed Name
Date
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