ethnic diversity scholarship application 16 - College of William and Mary [PDF]

Ethnic Diversity Scholarship. Application. Eligibility. Applicants must be of an ethnic heritage, have served as an athl

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William and Mary Sports Medicine Workshop Ethnic Diversity Scholarship Application Eligibility Applicants must be of an ethnic heritage, have served as an athletic training student aide at their high school under the supervision of a certified athletic trainer OR be enrolled or have been enrolled in a sports medicine class, and have an interest in the field of athletic training, sports medicine, or related field.

Application Process Applicants must complete all three sections of this application and submit all materials, postmarked by May 15, for review: Sports Medicine Workshop at William and Mary P.O. Box 399 Williamsburg, VA 23185 Award winners will be notified by June 1. Questions should be addressed to Andy Carter at (757) 2212790 or [email protected].

Section I To be completed by the applicant: Name of Applicant _______________________________________________________________ Ethnic Heritage

□ □ □

Black (Not of Hispanic Origin) Asian or Pacific Islander Other (please specify)

□ □

Hispanic Native American

_________________________________________

Address _____________________________________________________________________________________ City ____________________________________________________ State ________ Zip _________________ Email ____________________________________________________ Phone ____________________________ High School _____________________________________ GPA/Class Rank ______________________________ Supervising Athletic Trainer _____________________________________________________________________ Describe your athletic training experience

______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________

Section II To be completed by the supervising athletic trainer: Name of Applicant _____________________________________________________________________________ Print Name of Supervising ATC __________________________________________________________________ Signature of Supervising ATC _________________________________________ Date ____________________ Please attach or provide below a letter of support for the applicant, describing his or her dedication and commitment to learning and the field of athletic training and the degree to which the applicant makes a positive contribution to the athletic training program at your school.

Section III To be completed by the applicant: 1.

2.

3.

Interview, either in person or via phone, a certified athletic trainer of ethnic heritage. During the interview the student must inquire about how the athletic trainer was introduced to the profession, who he or she considered as a mentor, and what advice they would offer to a student who is considering athletic training as a profession. To locate an athletic trainer of ethnic heritage, you can review the roster of the Ethnic Diversity Advisory Committee of the National Athletic Trainers’ Association below and select a member of the committee to contact for an interview. Write an essay describing the athletic trainer you interviewed with attention to how they became interested in the profession and how they were mentored as an athletic training student. Attach the essay to your application.

EDAC Roster Committee Chair Marnie Vanden Noven, PhD, DPT, ATC, CSCS Term Ex: 06/2014 Belmont University (414) 202-4406 [email protected] District 1 Representative Ami Adams, MS, ATC, CES Onsite Innovations (860) 412-1123 [email protected] District 2 Representative Arturo "Roy" Flores, MS, ATC Stony Brook University (631) 632-9230 [email protected] District 3 Representative Megan Hammonds, MA, ATC, VAT-L Old Dominion University (757) 683-6811 [email protected] District 4 Representative Open District 5 Representative / Chair-Elect Murphy Grant, MS, ATC, NASM-PES, CES University of Kansas (785) 864-7957 [email protected] District 6 Representative Natalie Trotter, MS, ATC/L University of Arkansas (479) 445-9524 [email protected]

District 7 Representative Diana Padilla, MS, ATC Arizona State University (480) 965-8458 [email protected] District 8 Representative Mikiko "Mimi" Aoyagi Nakajima, EdD, ATC California State University, Long Beach (562) 985-8011 [email protected] District 9 Representative Kysha Harriell, PhD, ATC, LAT University of Miami (305) 284-3201 [email protected] District 10 Representative Dani Moffit, PhD, ATC Idaho State University (208) 282-4441 [email protected] Past-Term Chair Keith Garnett, MS, ATC Term Ex: 06/2012 Texas Tech University (806) 742-755 [email protected] Graduate Student Representative Roger Sancho, ATC, LAT, CES, PES Term Ex: 06/2015 Santa Cruz Warriors [email protected]

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