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Athletic Training Alum Curriculum Survey

Internship Route (graduates before 5/2004)
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:

ATC:
PA:
PT:
DC:
OT:
RT:
MD:
RN:
DO:
Other:

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.

Internship Route (graduates before 5/2004)
Please use this rating scale:
1=very weak, 2=weak, 3=moderate, 4=strong, 5=very strong, NA=not applicable
 
PEC 240- Introduction to Wellness 1 2 3 4 5 N/A
PEC 270- First Aide and CPR 1 2 3 4 5 N/A
PEC 310- Basic Athletic Training 1 2 3 4 5 N/A
PEC 311- Advanced Athletic Training 1 2 3 4 5 N/A
PEC 312- Athletic Training Practicum I 1 2 3 4 5 N/A
PEC 313- Athletic Training Practicum II 1 2 3 4 5 N/A
PEC 314- Athletic Training Practicum III 1 2 3 4 5 N/A
BIO 231- Anatomy Lab for Pre-Nursing Students 1 2 3 4 5 N/A
BIO 232- Physiology Lab for Pre-Nursing Students 1 2 3 4 5 N/A
BIO 328- Mammalian Physiology 1 2 3 4 5 N/A
BIO 335- Animal Physiology Laboratory 1 2 3 4 5 N/A
CEP 514- Study of Human Movement 1 2 3 4 5 N/A
CEP 517- Psychology of Sport 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.