*
Required Fields
Personal Information:
First Name:
*
Middle Initial:
*
Last Name:
*
Address:
*
City:
*
Province:
*
Postal Code:
*
Home Phone:
*
Email Address:
*
Date of Birth:
/
/
Month/Date/Year
*
Height:
*
Weight:
*
Mother's Name:
Father's Name:
Academic Information:
High School:
*
Address:
*
City:
*
Province:
*
Postal Code:
*
Phone:
*
Average Marks:
*
Desired Field(s)
of Study:
(please separate each by a comma)
*
Will you apply for Financial Aid?
Choose One
Yes
No
*
Other Universities you are considering:
(please separate each by a comma)
Please list Non Athletic Activities and Hobbies:
(please separate each by a comma)
Athletic Information:
High School Coach:
*
Phone:
*
Sport of Choice:
*
Summer League Team:
Coach:
Phone:
Position:
Years Played:
Is there video available:
Choose One
Yes
No
*
Athletic Achievements:
(please separate each by a comma)
List any
other sports you play:
(please separate each by a comma)
Additional Comments:
(please separate each by a comma)
