TEXAS STATE ATHLETIC TRAINERS’ ASSOCIATION

ALL-STATE ACADEMIC ACHIEVEMENT

Applications open October 9, 2017 and must be received by December 6, 2017

Athletic Trainers that are members of the Texas State Athletic Trainers’ Association have the privilege of nominating high school senior athletic training students to receive Academic All-State recognition. Athletic training students named to the Academic All-State team and their school will receive a certificate from the TSATA. The release at the bottom of the page must be signed for the student’s name and/or likeness to be publicized by the TSATA once they receive this recognition.

Nominees must fulfill the following requirements:

1.  Must be a graduating senior.

2.  Have an overall grade point average of 92 including grades 9 – 11 and the first six weeks of the athletic training student’s senior year.

3.  Be in good standing asan athletic training studentat thenominating Athletic Trainer'shigh school.

4.  Be of good moral character.

Nominating athletic trainer must fulfill the following requirements:

1.  Be a member in good standing with the TSATA by October 31, 2017

2.  Supervise the nominated athletic training student on a regular basis

Student Athletic Trainer Name / School Name
School Address
City, State, Zip

CERTIFICATION OF GPA MUST BE COMPLETED BY EITHER A SCHOOL COUNSELOR OR THE SCHOOL REGISTRAR

This information is to certify that both apply to the student listed above:
·  The individual is a 12th grade student at Texas senior high school; AND
·  The individual has attained at least a 92 grade average in all classes, including the first six week grading period of the 12th grade. Final grade from an Advanced Placement or Honors class should be given an additional ten (10) points.
·  Current Average (on 100 point scale) _______ (please convert GPA to grade average (0-100)
SCHOOL OFFICIAL’S NAME / OFFICIAL’S TITLE
SIGNATURE|
/ DATE
TSATA Member: / TSATA Region # (Reference attached region map)
TSATA Member Phone: / TSATA Member E-Mail:
Signature / Date

I, ______, understand that I may either appear in a photo or my name could be used in conjunction with the Texas State Athletic Trainers’ Association for use in its publications and/or promotional materials, and I agree that the Texas State Athletic Trainers’ Association may use any photo or my name at its discretion. I understand that the photo may be altered according to style necessity but that no distortion of any person in the photo will occur. I also understand that my name will only be used in conjunction with the sole reason that the Texas State Athletic Trainers’ Association has for its use. I hereby waive any and all rights to this photograph or use of my name.

______Date Signature of subject or parent/legal guardian of subject if subject under 18 years of age

Return to: Melissa Harrington ● Email: ● Fax (830) 885-1001