ࡱ> 241  | bjbjR!R! 0 0K_0K_| &&&&&::::$^,:teee$|2&eeeee&&e&&e:, `C{  s0 L & heeeeeeeFeeeeeeeeeeeeeeee X : DR. JEFFREY J. BEHRENS ATHLETIC TRAINING STUDENT SCHOLARSHIP APPLICATION AUGUSTANA University To be completed by student. Must be typed. SECTION I: GENERAL INFORMATION Applicants Name (Last/First/Middle): Applicants Permanent Address & Phone Number: Applicants School Address & Phone Number: Overall Cumulative Grade Point Average: Expected Graduation Date: (Based on a 4.0 maximum and over a period of 4 semesters) Are you planning to make athletic training your primary field of professional employment after graduation? (Yes/No) In which setting do you plan to practice? (High School, College, Professional Sports, Clinical / Industrial / Corporate) Community and organization involvement: Offices held (school, civic, religious, etc.): Academic Awards: Other Awards/Recognitions: Signature of Applicant___________________________________ Date______________________ DR. JEFFREY J. BEHRENS ATHLETIC TRAINING STUDENT SCHOLARSHIP APPLICATION AUGUSTANA University SECTION II: STUDENT AFFIDAVIT Must be typed. Name of Applicant: ______________________ Using the space provided, please state why you feel you should be selected for this award. Identify your areas of strength as an ATS. Limit your response to one page. Signature of Applicant: _________________________________ Date: _____________________ %()1IS]^        ! 2 3 4 5 6 \ ^ _ w y   üрh0a\ hjCJ hjCJhj5>*CJhzm5>*CJ hzmCJ hzmCJ h"hj hj5CJ hzm5CJ h0a\5CJ hzm5>*hzmhzm56CJh 5CJOJQJh0a\5CJOJQJhzm5CJOJQJ0I^    3 4 5 6 2$$d%d&d'd-DM NOPQa$gduI2$$d%d&d'd-DM NOPQa$gduI6 y ) *         5 6 7 8 9 : ; < gdj  ( ) * R S T           3 4 5 6 7 8 9 : ; < R y } ڻ̻ڻڵڻڻ h0a\CJhjhMhj5CJhMhzm5CJhzm h0a\>*CJ hzm>*CJ hjCJ hzmCJh"hjCJaJ hj5CJ h0a\5CJ hzm5CJhjhzm5h0a\h0a\5CJaJ h0a\5 hj51<  # $ O P 2$$d!%d$&d!'d$-DM N!O$P!Q$a$gduI -DM gduI2$$d!%d$&d!'d$-DM N!O$P!Q$a$gduI   # $ 6 G M O P                           5 _ Żhhzm5CJ hGs!5CJhh5CJ hCJ hzm5CJhzm56CJ hzmCJh 5CJOJQJhhzmhzm5CJOJQJC                            | _ c { | hzmCJ hzm5CJ.:p/ =!"#$% x2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@66666_HmH nH sH tH 8`8 Normal_HmH sH tH 8@8  Heading 1$@&CJB@B  Heading 2$@& 5CJehHH  Heading 3$@&^`5TT  Heading 4 $$d%d&d'd@&5CJb@b  Heading 5&$$$d!%d$&d!'d$@&a$5CJOJQJ>@>  Heading 6$@& 5>*CJ<<  Heading 7$@&>*CJDA D Default Paragraph FontViV  Table Normal :V 44 la (k (No List 6B@6 Body Text5CJ<P< Body Text 2 5>*CJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vj\{cp/IDg6wZ0s=Dĵw %;r,qlEآyDQ"Q,=c8B,!gxMD&铁M./SAe^QשF½|SˌDإbj|E7C<bʼNpr8fnߧFrI.{1fVԅ$21(t}kJV1/ ÚQL×07#]fVIhcMZ6/Hߏ bW`Gv Ts'BCt!LQ#JxݴyJ] C:= ċ(tRQ;^e1/-/A_Y)^6(p[_&N}njzb\->;nVb*.7p]M|MMM# ud9c47=iV7̪~㦓ødfÕ 5j z'^9J{rJЃ3Ax| FU9…i3Q/B)LʾRPx)04N O'> agYeHj*kblC=hPW!alfpX OAXl:XVZbr Zy4Sw3?WӊhPxzSq]y |'  _ |  6 <  |  8@0(  B S  ?~~S]66{~S]66~a 0@ j hh^h`o(.hh^h`o(.a0@ jGs!"#I5~o?uI_I0a\teppTj "Mzm b[|~@|p@UnknownG.[x Times New Roman5^Symbol3. *Cx ArialC.,*{$ Calibri Light7.*{$ CalibriA$BCambria Math"1h֑֑S&  !r0zz3@P ?~o?2!xx:l Mark L. WencekCHASEMark L. WencekMicrosoft Office User  Oh+'0  ,8 X d p |'Mark L. WencekMark L. WencekCHASE Normal.dotmMicrosoft Office User2Microsoft Office Word@@N"A@LXC@LXC ՜.+,0 hp  'Augustana College z Mark L. Wencek Title  "#$%&'(*+,-./03Root Entry FC51TableWordDocument0 SummaryInformation(!DocumentSummaryInformation8)CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q