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This document collects medical and personal information from athletes at Augustana, including medical history, allergies, previous injuries, and emergency contact details, to ensure safe participation
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How to fill out Augustana Athlete Information and Medical History

01
Begin by entering your personal information such as name, date of birth, and contact details.
02
Provide your primary and secondary insurance information, including policy numbers.
03
Complete the medical history section by detailing any previous injuries, surgeries, or ongoing medical conditions.
04
Fill out the emergency contact information, listing at least one person to contact in case of an emergency.
05
Review all the information for accuracy and ensure all required fields are completed.
06
Sign and date the form to confirm the information you provided is correct.

Who needs Augustana Athlete Information and Medical History?

01
All student-athletes participating in Augustana athletic programs are required to complete the Athlete Information and Medical History form.
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Request information today! Winning runs deep at Augustana, and the Viking spirit goes beyond our NCAA Division III teams. Student-athletes are fueled by coaches, 40+ faculty mentors for athletic teams, and a commitment to balancing excellence in study and sport.
Augustana University Coaches The average salary of the men's team head coaches is $185,496, while the head coaches of women's team make, on average, $73,879 per year.
Staff Directory NameTitlePhone Administration Mike Zapolski Director of Athletics (309) 794-7223 Trevor Jossart Assistant Athletic Director - Communications (309) 794-7525 Kelly Bethke Senior Women's Administrator (309) 794-7839113 more rows
Staff Directory NameTitlePhone Athletics Administration Patrick Ransdell Director of Athletics (417) 836-4136 Casey Hunt Senior Associate Director of Athletics/SWA (417) 836-4136 Keith Boaz Executive Director, Athletic and Entertainment Facilities (417) 836-524086 more rows
Beth Elam will serve as Augustana's new dean of students after spending more than a year as acting dean and previously serving as associate dean.
Ranked in the top tier of U.S. News, Augustana College offers 100 majors and areas of study, and 28 varsity athletic teams. The beautiful campus is located along the Mississippi River in Rock Island, Ill. Augustana is a selective, private liberal arts college, founded in 1860 by Swedish settlers.
Need-based and academic scholarships are available for student-athletes. Athletic scholarships are available for NCAA Division I, NCAA Division II, NAIA and NJCAA. On average, 34% of all student-athletes receive athletic scholarships.

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Augustana Athlete Information and Medical History is a comprehensive document that collects important personal and medical information about student-athletes at Augustana University. This document is used to assess the health and readiness of athletes to participate in sports.
All student-athletes participating in sports at Augustana University are required to file the Athlete Information and Medical History form prior to their participation.
To fill out the Augustana Athlete Information and Medical History form, student-athletes must provide accurate personal information, medical history details, and emergency contact information. It is typically done online or through physical documentation provided by the athletic department.
The purpose of the Augustana Athlete Information and Medical History is to ensure the safety and well-being of student-athletes by identifying any pre-existing medical conditions or risks before they engage in athletic activities.
The information that must be reported includes personal identification details, medical history, previous injuries, medications, allergies, and emergency contact information.
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