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000193988 / JXS0000026984300 STUDENT OR ATHLETE ACCIDENT CLAIM FORM Excess Coverage K12 ACCOUNTS CLAIMS DEPARTMENT 1712 Magnate Way, P.O. Box 2338 Fort Wayne, IN 468012338 pH: 8002372917 Fax: 3123819077
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Prepare all necessary documents: Before filling out the student or athlete application, gather all relevant documents such as academic transcripts, letters of recommendation, proof of athletic achievements, and any required medical records.
02
Start with personal information: Begin by providing your basic details such as full name, date of birth, contact information, and social security number. Make sure to fill in this information accurately and legibly.
03
Choose the desired program or sport: Indicate the specific program or sport you wish to pursue as a student or athlete. This could include choosing a major or degree program for students or selecting a particular sport for athletes.
04
Academic information: If you are applying as a student, provide details about your educational background, including high school or college attended, GPA, and any honors or awards received. For athletes, include information about your previous sports participation, achievements, and any relevant athletic scholarships.
05
Extracurricular activities: Highlight your involvement in any extracurricular activities, clubs, community service, or leadership roles. This demonstrates your well-roundedness and commitment to personal growth.
06
Personal statement: Write a compelling personal statement that showcases your passion, goals, and reasons for choosing to be a student or athlete. This is your opportunity to stand out and make a lasting impression.
07
Supplemental materials: Include any additional materials required, such as a resume, portfolio, or athletic performance videos. These can further enhance your application and provide a comprehensive overview of your abilities.

Who needs student or athlete:

01
High school students: Students who are planning to pursue higher education and want to apply to colleges or universities as well as participate in sports programs may need to fill out student or athlete applications.
02
College students: Current college students who wish to apply for various scholarships, grants, internships, or specific athletic opportunities may be required to complete student or athlete applications.
03
Aspiring athletes: Individuals who aspire to become professional athletes or seek athletic scholarships to fund their education may need to fill out athlete applications to showcase their skills, achievements, and potential.
In summary, filling out student or athlete applications requires attention to detail, organization, and the ability to effectively communicate your academic or athletic background. These applications are typically completed by high school and college students who are seeking educational and athletic opportunities.
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Student or athlete refers to individuals who are enrolled in educational institutions and/or participate in sports competitions.
Parents or legal guardians of students or athletes are required to file relevant documentation.
The documentation for student or athlete can be filled out online or through physical forms provided by the educational institution or sports organization.
The purpose of filing for student or athlete is to ensure compliance with academic and sports regulations, as well as to provide necessary information for participation in educational and athletic activities.
Information such as academic records, medical history, participation in sports events, and contact details must be reported for student or athlete.
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