The form below is for the use of prospective
student athletes who wish to play intercollegiate
sports at Ecclesia College. Please use this
form to contact our coaching staff and sports information
department. Note: any information you submit is voluntary
and will be kept on file in the Athletic Department.
Information will not be sold or released to third
parties. |
| Full Name required): |
|
| E-Mail (required): |
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| Primary Sport: |
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| Age:
Height:
Weight (men):
|
| Primary
Position/Event:
|
| Date of Birth: |
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| Social Security
Number: |
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|
Academic Information |
| Name of high school: |
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| High school street address: |
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| City:
State:
Zip:
|
| Year of Graduation: |
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| Coach's
name: |
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| Coach's phone:
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| Coach's e-mail: |
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| SAT score:
ACT score:
GPA: |
| Intended major at EC:
|
|
|
Complete if you have attended a junior college or
another four-year institution. Note: transfers from
four-year institutions must obtain a release from
your athletic department before our coaches can contact
you. |
| Name of college: |
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| Year of college graduation: |
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| College coach's name: |
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| College coach's phone:
|
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| College coach's e-mail: |
|
| Complete
if your sport has club participation (ODP, Junior
Olympics, other club, etc.) |
| Club Team: |
|
| Club coach's name: |
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| Club coach's phone:
|
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| Club coach's e-mail: |
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| Contact
& Family Information |
| Home Address: |
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| City:
State:
Zip:
For addresses outside the U.S., please input your
address here:
|
| Home Phone: |
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| Cell Phone: |
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| Father's Name:
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Occupation:
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| Mother's Name:
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Occupation:
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| Statistical
Information |
| Athletic statistics
or best performances (averages, percentages, points,
times, etc.) |
|
|
| Achievements and
awards in your primary sport (MVP, all-conference,
all-state...please name conference and state): |
|
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| Achievements and
awards in other sports OR academics: |
| |
| Other colleges/prep
schools attended, sports you played, and accomplishments
in those sports: |
| |
| Athletic Atributes
(such as 40 speed, bench press, squat, and vertical
leap) -- Be sport appropriate: |
| |
| Tell us why
you want to be a Royal and why you would be competitive
at the NCCAA level: |
| |
|
(This field should remain blank.)
|
| Note:
Frivolous use of this form will result in your IP
address being logged, possible blockage from further
submissions, and other action deemed necessary by
the athletic department.. |
