Request Athletic Training InformationLoading...Interested in learning more about the Athletic Training Program at NWU? Fill out this easy form and a faculty member will contact you directly to answer your questions.RequestSubjectSubjectI am a high school student interested in your programI am a college transfer student interested in your programPersonal InformationFirst nameLast nameBirthdateBirthdateJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember1234567891011121314151617181920212223242526272829303120242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Email addressMailing addressMailing addressCountryStreetCityRegionPostal CodePreferred phoneMobile phoneEducationHigh schoolPrevious school attendedCeeb codeSchool typeHigh SchoolSchool typeUndergraduateGraduation dateGraduation dateJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember12345678910111213141516171819202122232425262728293031200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044Expected transfer dateExpected transfer dateJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember12345678910111213141516171819202122232425262728293031200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044GPA(Optional)ACT score(Optional)ACT verifiedSelf ReportedVerifiedSAT score(Optional)SAT verifiedSelf ReportedVerifiedQuestions?Contact: Samantha Wilson, EdD, ATC, LAT, CPT Athletic Training Program Director Weary Center, Room 220 Lincoln, NE 68504402.465.2128swilson2@nebrwesleyan.eduSubmit