Athletic Training
Prospective Student Questionnaire

NOTE:This form is not an official college application. This form will be used by the Athletic Training staff.
Items marked with an astrisk* are required.

Thank you for your interest in Bethany College! You will receive email confirmation within three working days. If you do not receive confirmation, please call 1-800-826-2281 for assistance.
 
Personal Information

*Last Name *First Name  Middle I. 
*Home/Cell Phone # *E-mail Address
Country  Gender (m/f) 
*Street Address 
*City  , *State: *Zip 
*Date of Birth (mo/day/yr) *Date of Grad (mo/yr) 

Academic Information
*Class Rank  *out of  *G.P.A. 

Test Scores: SAT:Date (mo/day/yr)  Verbal  Math 
ACT:Date (mo/day/yr)  Composite 
Achievement  Scores: 

*High School/ Name  *Year in School (fr/so/jr/sr) 
*Address 
*City  , *State: *Zip 
*Phone 
Guidance Counselor 
Other College/University Attended
Attended from to
Area of Study
Future Desired Occupation

Athletic Training Information (No Experience Required)
Previous Athletic Training Experience
Name of Supervisor
Phone



Bethany College
335 E. Swensson Street
Lindsborg, Kansas 67456-1897
Telephone: 1-785-227-3311 or 3380 x 8113
Admissions Fax: 1-785-227-8993
Admissions Telephone: 1-800-826-2281

 Copyright © 2006 Bethany College
Last Modified: April 22, 2008