athletic inquiry

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Simply complete the form and we'll send you more information. Plus we'll give your information to the head coach of your sport!

*

Personal Information

*	First Name: Please enter a valid First Name
	Preferred Name: Please enter a valid Preferred Name
*	Last Name: Please enter a valid Last Name
*	Email:

Current Residence

*	Street:
	Unit#:
*	City:
*	State:
*	Country:
*	ZIP Code:
*	Home Phone:
	Cell Phone:

High School/College Details:

	College: College Finder Clear
	College GPA:
	High School: High School Finder Clear
	HS GPA:
	HS Grad Year:

Majors/Interest Section:

*	Entry Status
*	In which year and semester would you like to enroll at Southern Virginia University?
	Religious Preference
	Majors:
	1st Major:
	2nd Major:
	Please confirm your interest in playing an intercollegiate sport by selecting from the dropdown below:
*	Primary Sport Of Interest:

Personal Details:

*

Date of Birth:

May 2013

	Sun	Mon	Tue	Wed	Thu	Fri	Sat
18	28	29	30	1	2	3	4
19	5	6	7	8	9	10	11
20	12	13	14	15	16	17	18
21	19	20	21	22	23	24	25
22	26	27	28	29	30	31	1
23	2	3	4	5	6	7	8

Today

Clear

*

Gender:

T-Shirt Size

Athletic Information - Please Complete All That Apply To Your Sport To The Best Of Your Ability:

Position:

Uniform Number:

Height:

Weight:

Dominant Hand/Foot:

Reach:

Vertical:

20 Yrd. Shuttle:

Broad:

Bench:

Squat:

Clean:

Best Team/Individual Finish (e.g State Champions):

Serve/Pitching Speed:

Mile time:

5K Time:

40 Yrd. Dash:

Date You Wish To Visit Campus:

May 2013

	Sun	Mon	Tue	Wed	Thu	Fri	Sat
18	28	29	30	1	2	3	4
19	5	6	7	8	9	10	11
20	12	13	14	15	16	17	18
21	19	20	21	22	23	24	25
22	26	27	28	29	30	31	1
23	2	3	4	5	6	7	8

Today

Clear

Last Physical Received:

May 2013

	Sun	Mon	Tue	Wed	Thu	Fri	Sat
18	28	29	30	1	2	3	4
19	5	6	7	8	9	10	11
20	12	13	14	15	16	17	18
21	19	20	21	22	23	24	25
22	26	27	28	29	30	31	1
23	2	3	4	5	6	7	8

Today

Clear

Transfer Classification:

School Size:

Secondary Sport:

Years On Varsity or Eligibility Remaining (If A Transfer Student):

Coach Information (Name, Number, Email):

Accolades (e.g All State, Scoring Leader):

Clubs teams you have played on, additional comments:

Clear form

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