Prospective Athlete

Note: Required fields below marked with * must be completed in order to submit this form.

General Information

First Name: *
MI:
Last: *
Email Address: *
Home Phone: *
Cell Phone:
Age: *
High School:
City:
State:
High School Coach's Name:
Junior College:
City:
State:
Jr. College Coach's Name:

Academic Information

High School Graduation Date:   Class Rank: G.P.A.:
Jr. College Graduation Date: Hours Completed: G.P.A.:
SAT Scores: Reading: Math: Written:
ACT Comp Score:
Intended College Major:
Academic Accomplishments:
Certified by NCAA Clearinghouse? No Yes   Index Number:
Guidance Counselor's Name:   Phone:

Rowing Information

Rowing Program:
High School Coach Information:
Coach's Phone:
Coach's Email:
Height / Weight: /
Number of Years Rowing:
Check All That Apply: Port Starboard Scull Coxswain
Personal Best Ergometer Scores: 2k: 6k: 20min:

All Other Sports and Number of Years Played:

All Athletic Accomplishments/Honors:

Current and/or Upcoming Competition Schedule:

What are the three most important qualities you are looking for in an athletic program?

Do you have friends and/or relatives attending NSU or know alumni of NSU? If so, who:

Your Hobbies: