Southeast Athletic Trainers' Association

Memorial Undergraduate Scholarship
Sponsoring Athletic Trainer's Evaluation Form
SEATA Undergraduate Scholarship Details & Criteria SEATA Undergraduate Application Form

Dear Athletic Trainer:

The candidate applying for the SEATA Memorial Undergraduate Scholarship has requested an evaluation from you as part of the application process.  Please complete this form and submit as indicated below.  This information is forwarded directly to the District Nine Scholarship Committee.  Please, be as honest and objective as possible.
                        Scale:  1 = Poor          10 = Excellent

  08/13/2008 08:02 AM
Applicant's Name  
Date  
 

1 = Poor                            10 = Excellent
1. Honesty and integrity  1    3    5    7    9    10
2. Responsibility and reliability  1    3    5    7    9    10
3. Organization  1    3    5    7    9    10
4. Willingness to do the behind-the-scenes unpleasant chores  1    3    5    7    9    10
5. Ability to follow orders  1    3    5    7    9    10
6. Willingness to work long hours  1    3    5    7    9    10
7. Shows a personal interest in the athlete  1    3    5    7    9    10
8. Treats athletes without discrimination  1    3    5    7    9    10
9. Has an enthusiastic attitude  1    3    5    7    9    10
10. Demonstrates initiative in his work  1    3    5    7    9    10
11. Ability to get along with colleagues  1    3    5    7    9    10
12. Personal appearance and hygiene  1    3    5    7    9    10
13. Mechanical ability  1    3    5    7    9    10
14. Enforces athletic training room regulations  1    3    5    7    9    10
15. Stays within the limits of athletic training responsibilities (does not coach or play doctor)  1    3    5    7    9    10
16. Adhesive taping ability  1    3    5    7    9    10
17. Knowledge of injury evaluation  1    3    5    7    9    10
18. Knowledge and application of first aid skills  1    3    5    7    9    10
19. Injury wrapping ability  1    3    5    7    9    10
20. Knowledge and use of athletic training room supplies  1    3    5    7    9    10
21. Knowledge of general athletic training room administration  1    3    5    7    9    10
22. Application and knowledge of therapeutic modalities  1    3    5    7    9    10
23. General knowledge of conditioning exercises  1    3    5    7    9    10
24. General knowledge of basic rehabilitation of injuries  1    3    5    7    9    10
25. Ability to construct special injury pads  1    3    5    7    9    10
Evaluating Athletic Trainer's Name  
Evaluating Athletic Trainer's Title  
Work Phone  
FAX  
E-mail  
Are you a current member of the NATA?  
NATA Membership Number  
How many years?  

Southeast Athletic Trainers' Association
Memorial Undergraduate Scholarship Application
Revised: 08/03/08