ASSUMPTION COLLEGE ATHLETICS

Information Request Form

Thank you for your interest in the ASSUMPTION COLLEGE ATHLETICS PROGRAM. Please fill out the following form and click on the submit button at the bottom. Your information will be forwarded to the appropriate coaching staff and a copy of your response will be forwarded to our admissions office. They will send along appropriate materials concerning the application procedure.
PLEASE NOTE
The College doesn't require test scores (SAT or ACT) for admission however the NCAA does require them for initial eligibility!

 

SPORT(S) Interested:  

Name: First M.I. Last

Date of Birth: Month Day Year

E-Mail

Address

city State ZIP

Telephone (with area code)

Best Time to Call

Mother's Name Father's Name

High School or Junior College

School Address

School Code

City State ZIP

Telephone (with area code)

Coach(es)

Telephone(s) (with area code)

Position(s)

Height Weight

Last Season Stats

SWIMMERS , please complete following information
ALL OTHERS PROCEED TO ACADEMIC QUESTIONS AT THE END

FREESTYLE  (Best Times & Dates)

50

100

200

500

1000

1650


BREASTSTROKE  (Best Times & Dates)

100

200


BACKSTROKE  (Best Times & Dates)

100

200


BUTTERFLY  (Best Times & Dates)

100

200


INDIVIDUAL MEDLEY  (Best Times & Dates) 

200

400


ALL PROSPECTIVE STUDENT-ATHLETES SHOULD COMPLETE THE FOLLOWING:

Last Season Honors

ACT Scores SAT Scores

Class Rank

Expected Date of Graduation

Grade Point Average

Desired Major

Do you plan to live on campus? Yes No Undecided

Have you registered with the NCAA Eligibility Center?  Yes No

Questions or Comments? Send us an e-mail at bjellis@assumption.edu

 

Please double check your entries to make sure they are correct.

 



DEPARTMENT OF ATHLETICS

AssumptionCollege, 500 Salisbury Street, Worcester, MA01609-1296

Main Office (508) 767-7279

Fax (508) 798-2568