• This
form is NOT an official university application.
• This form will be used by the athletic department to help determine prospective
student athletes.
• NCAA Rules prohibit coaches from contacting freshmen and sophomores in high
school. No printed materials may be sent to a prospect until September 1 of the
athlete's junior year. Coaches are prohibited from phone calls or in-person off
campus visits to high school athletes until after June 15 of the summer
preceding the athlete's senior year.
*BOLD indicates required fields
First Name
Last Name
M.I.
Social Security Number:
Date Of Birth (MM/DD/YYYY):
Home Address:
Street:
Street2:
City: State:
Zip:
Home Phone Number (XXX-XXX-XXXX):
Email Address:
ACADEMIC INFORMATION
High School:
Date of Graduation (MM/YYYY):
Class Rank/Number in Class (##/##):
SAT - Date Taken (MM/YYYY):
Total Score: Verbal:
Math:
Have you applied to the NCAA Clearinghouse?
Yes
No
(What is the NCAA
Clearinghouse?)
Have you applied to West Chester University?
Yes
No
(Click
here to contact the Office of Admissions)
Academic Program Desired at West Chester University:
ATHLETIC INFORMATION
Main sport you are interested in at West Chester University
(Determines coaches that will receive this form.):
Secondary sports you may be interested in at West Chester University:
Total letters won:
Coach's Name:
Coach's Phone Number (XXX-XXX-XXXX):
Height: Weight:
Position/Event:
Statistics for current season:
Career statistics:
Athletic Honors (All-Conference, All-State, etc.):
Other Honors:
Other varsity sports played:
OTHER INFORMATION
I can visit West Chester University on the following dates:
Will you need financial assistance?
Yes
No
Have you filed for financial assistance?
Yes
No
Please use the box below to enter any other information you would like to
submit to the coaching staff.
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