Athletic Training Alum Survey

Part I: Background Information

Today’s date: 02/10/12

Year Graduated From SBU: -OR- Year Left SBU :

First Name:	Last Name:	Maiden Name:

Permanent Address:	Current Address:
City:	City:
State:	State:
Zip:	Zip:
Home Phone:	Phone:
Home E-Mail:	E-Mail:
Home Fax:	Fax:

Part II: Education/Certifications
What degrees do you currently hold? (Indicate institution name and date granted) ( USE DATE FORMAT 01/01/1999 )
BS/BA:		Date:
MS/MA/MEd:		Date:
PhD/EdD:		Date:
Other:		Date:

Indicate the date (month/year) in which you received the following certifications and/or licenses:

Have you taken the NATABOC Exam? Yes No If yes, Date (month/year)

If no, why not?

-If yes, how many times have you taken each section?

Written Written Simulation Oral Practical

Do you ever plan on taking the NATABOC Exam? Yes No If yes, when?

-If no, why not?

Are you a member of the NATA? Yes No Since when?

-If so, in what State? District?

Do you plan to pursue other educational degrees? Yes No

-If yes, please specify:

Part III: Employment
Where are you currently employed?
Name:
Title/Position:
Business Address:
City:
State:		Zip:
Phone:		Fax:
E-Mail:

Part IV:Course Preparation
Indicate the degree to which the following courses prepared you for your entry level position/graduate school.

Curriculum Route (graduates after 5/2004)
Please use this rating scale:
1=very weak, 2=weak, 3=moderate, 4=strong, 5=very strong, NA=not applicable

HAL 205- Introduction to Athletic Training	1 2 3 4 5 N/A
HAL 210- Emergency Care of Athletic Injuries	1 2 3 4 5 N/A
HAL 300- Kinesiology	1 2 3 4 5 N/A
HAL 305- Prevention and Care of Athletic Injuries	1 2 3 4 5 N/A
HAL 320- Eval. and Assessment of Athletic Injuries	1 2 3 4 5 N/A
HAL 330- Athletic Training Practicum I	1 2 3 4 5 N/A
HAL 335- Athletic Training Practicum II	1 2 3 4 5 N/A
HAL 340- Athletic Training Practicum III	1 2 3 4 5 N/A
HAL 345- Therapeutic Modalities	1 2 3 4 5 N/A
HAL 355- General Medical Conditions	1 2 3 4 5 N/A
HAL 360- Rehabilitation of Athletic Injuries	1 2 3 4 5 N/A
HAL 370- Exercise Physiology	1 2 3 4 5 N/A
HAL 435- Org and Administration in Athletic Training	1 2 3 4 5 N/A
HAL 440- Athletic Training Practicum IV	1 2 3 4 5 N/A
HAL 450- Senior Research Seminar	1 2 3 4 5 N/A
HAL 475/476 Undergraduate Teaching Practicum	1 2 3 4 5 N/A
ANP 300- Human Anatomy	1 2 3 4 5 N/A
BIO 210- Human Physiology	1 2 3 4 5 N/A
CHE 131- General Chemistry I:	1 2 3 4 5 N/A
CHE 132- General Chemistry II:	1 2 3 4 5 N/A
PSY 103- Introduction to Psychology	1 2 3 4 5 N/A
PSY 210- Statistical Methods in Psychology	1 2 3 4 5 N/A
PHY 113- Physics of Sports	1 2 3 4 5 N/A
PHY 115- Electromagnetism, Wave & Radiation in Sports Science	1 2 3 4 5 N/A

Part V: SBU Preparation
How well did your educational experience at Stony Brook University prepare you for:

Please use this rating scale:
1=very weak, 2=weak, 3=moderate, 4=strong, 5=very strong, NA=not applicable

Functioning in the workplace:	1 2 3 4 5 N/A
First job as an athletic trainer:	1 2 3 4 5 N/A
NATABOC Examination:	1 2 3 4 5 N/A

Part VI: Comments

Please write any further comments that you would like to make about your professional preparation here.

Athletic Training Alum Curriculum Survey