Western Mustangs - Prospective Athlete Form

Prospective Athlete Form

This form is not an official university application.

Personal Information
Name *
Gender (M or F) *
Sport(s) *
Address
City
Province
Postal Code
Country
Telephone *
Cell Phone
Email *
Date of Birth (yyyy/mm/dd)
Mother's Name
Father's Name
Academic Information
High School Name
Previous College/University (if applicable)
High School Address
High School Phone
High School Graduation Year
Intended Major
Grade 11 Marks
Grade 12 Marks
Have you ever applied here?	YesNo
Do you intend to apply for financial aid?	YesNo
Academic Honours
Other colleges you are interested in
Athletic Information
Primary sport you are interested in
Other Sports Played
Height
Weight
Current Team(s) (clubs, provincial, national, etc...)
Coach's Name
Coach's Phone
Position/Event
Career Statistics(include personal best times):
Athletic Honours in Career
Other Honours
Team Highlights in Career
High School Graduation Year
Other Information

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Western Ontario Athletics

Prospective Athlete Form