Athletic Training
License Application Forms
Instructions for completing and submitting the forms required for licensure appear below. You may also need to submit additional information (for example, examination scores). Please refer to the license requirements link on the left for complete information regarding all requirements you must meet.
Form 1 - Application for Licensure and First Registration (at1.pdf; 46K; 4 pages)
All applicants for licensure must complete this form and submit it with the $150 licensure and first registration fee directly to the Office of the Professions at the address at the end of Form 1. Make checks payable to the New York State Education Department. NOTE: Your cancelled check is your receipt. You must answer all questions and provide all information requested unless otherwise indicated. Failure to complete all required parts of the application will delay its review. Your signature on Form 1 must be notarized by a Notary Public. Upon receipt of your application, we will send you an acknowledgement letter.Form 2 - Certification of Professional Education - (at2.pdf; 31K; 2 pages)
This form must be submitted directly by the educational institution you attended. The Office of the Professions will not accept this form if submitted by the applicant. Section I: Complete this section of the form before sending the entire form to your school. Be sure to sign and date item 8. Section II: The Registrar must complete this section and return both pages of the form in an official school envelope directly to the Office of the Professions at the address at the end of the form.Form 2B - Certification of Equivalent Practicum Experience - (at2b.pdf; 27K; 2 pages)
Complete this form if you did not complete a program registered by the New York State Education Department as licensure qualifying or accredited by the National Athletic Trainers' Association, the Commission on Accreditation of Allied Health Programs or by the Commission on Accreditation of Athletic Training Education. The Office of the Professions will not accept this form if submitted by the applicant. Section I: Complete this section of the form before sending the entire form to your supervisor. Be sure to sign and date item 8. Section II: Your supervisor must complete this section and return both pages of the form in an envelope with their return address directly to the Office of the Professions at the address at the end of the form.Form 3 - Verification of Other Professional Licensure/Certification - (at3.pdf; 26K; 2 pages)
Complete this form if you hold, or ever held, a license or certificate to practice any profession* in any jurisdiction.
This form must be submitted directly by the licensing/certifying authority. The Office of the Professions will not accept this form if submitted by the applicant.
Section I: Complete this section before sending the entire form to the licensing/certifying authority of each jurisdiction in which you are or have been licensed/certified. Be sure to sign and date item 7.
Section II: The licensing/certifying authority must complete this section, sign, date and return both pages of the form directly to the Office of the Professions at the address at the end of the form.
Note: A Form 3 is not required for licenses/certificates issued by the New York State Education Department.
* Profession is defined as one of the professional titles licensed under New York State Education Law. (See New York State Professions or page 2 of the Address/Name Change Form for a list of those titles.)
Address/Name Change Form - Optional (anchange.pdf; 16K; 2 pages)
You are required to notify us within 30 days of any name or address changes. Please read the instructions and complete the appropriate sections of this form.
