OATS Scholarship Application

Print out application and then type and fill in ALL information

Personal Information

Name___________________________________________________________________

Street Address____________________________________________________________

City__________________________________State_____________Zip______________

Telephone Number________________________email address_____________________

Student Signature_________________________________Date____________________

Your College Plans

State your plans for enrollment in an accredited college, university, or technical college. Include your planned major:

Instructor Information

Name______________________________ School_______________________________

School Address___________________________________________________________

City________________________________State__________________Zip___________

Telephone Number___________________________email address__________________

Signature of Nominator_____________________________Date______________________________

Please Attach: 1. Student Essay 2. Student Narrative 3. Two letters of recommendations (one must be from Sports Medicine program instructor)
4. Official transcripts 5. Scholarship Application