Athletic Interest Form
First Name *
Your answer
Last Name *
Your answer
Gender *
Date of Birth *
Your answer
Age: *
Your answer
Current Cumulative GPA: *
Your answer
Program of Study: *
Your answer
Address: *
Your answer
City *
Your answer
State *
Your answer
Email Address *
Your answer
Sport(s) you are interested in playing:
Basketball
Men's Golf
Men's Soccer
Women's Volleyball
Yes
No
Position(s) you have played: *
Your answer
Number of years you have been involved in this specific sport: *
Your answer
Did you play in High School? *
If so, did you play Varsity?
Please list any athletic awards or honors you received and the date(s):
Your answer
Other sports you have played competitively and any awards/honors you received (and dates):
Your answer
Additional comments, questions, or concerns:
Your answer
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This form was created inside of West Virginia University - Parkersburg.