Southern Virginia University Athletic Inquiry Form


Personal Information

First Name                       


Last Name
Address


 City
State


 Zip
Country if not U.S.A


  
Home Phone


 Cell Phone
            

E-mail Address


 Date of Birth
Mothers First Name


 Mothers Last Name
Mothers Occupation


  
Fathers First Name


 Fathers Last Name
Fathers Occupation


  
Anticipated Semester and Year of Attendance
  

Have you applied to Southern Virginia University?
 

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Have you filed the Free Application for Federal Student Aid ( FAFSA)?
 

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Religious Affiliation (Optional)


Academic Information


Name of High School


 City of High School
 

State of High School


 Graduation Date
High School GPA (4 Point Scale)
           

High School Class Ranking
     

SAT Scores


 ACT Score
Intended Major


 Did you Attend Another College


If yes...College Name


 Credits Earned
College GPA


  
 

Athletic Information


 Height
 

Weight
 

Position
            

Uniform Number
Will you be sending a Video

Years of Varsity Experience

Coaches Name


 Coaches Phone
Coaches E-mail


  
 Individual Athletics stats/honors