Questionnaires

Fields marked with * are mandatory
General

 *
*Please enter valid First Name
 *
*Please enter valid Last Name
 *
*Please enter valid Preferred Name
*Please enter valid Middle Name
 *
*Please enter valid Email Address
 *
*Please enter valid Home Address 1
*Please enter valid Home Address 2
 *
*Please enter valid City
 *
*Please enter valid State
 *
*Please enter valid Zip
*Please enter valid Country
*Please enter valid Citizenship
*Please enter valid number
*Please enter valid number
 *
*Please enter valid number
*Please enter valid Hobbies/Interests
*Please enter valid Date of Birth
*Please enter valid Do you know anyone who has attended Ursinus?
*Please enter valid Have you visited Ursinus yet?
*Please enter valid Have you met with Coach Scavicchio on campus?
*Please enter valid Non-athletic reasons you hope to attend Ursinus:
*Please enter valid Other College Attending
Background

*Please enter valid Mother's Name
*Please enter valid Mother's Cell Phone Number
*Please enter valid Mother's Email Address
*Please enter valid Mother's Occupation
*Please enter valid Mother's College Attending
*Please enter valid Father's Name
*Please enter valid Father's Cell Phone Number
*Please enter valid Father's Email Address
*Please enter valid Father's Occupation
*Please enter valid Father's College Attending
*Please enter valid My parents are currently:
*Please enter valid Sibling(s) / Name(s) and Age(s)
*Please enter valid College Siblings Attending/Attended
Academic

 *
*Please enter valid High School
*Please enter valid School Phone Number
*Please enter valid Counselor's Name
*Please enter valid Counselor's Email
*Please enter valid number
*Please enter valid GPA Scale (i.e. 4.0/5.0)
*Please enter valid SAT Total
*Please enter valid PSAT
*Please enter valid Academic Honors
*Please enter valid Other College Choices
*Please enter valid Extracurriculars
*Please enter valid Unofficial Transcript
*Please enter valid Student Type
*Please enter valid School Profile
*Please enter valid Senior Class Schedule
*Please enter valid Academic Interest 1
*Please enter valid Academic Interest 2
*Please enter valid Academic Interest 3
*Please enter valid Are you considering applying Early Decision?
Athletic

*Please enter valid Position
*Please enter valid Video Link
*Please enter valid Height
*Please enter valid Dominant Hand
*Please enter valid Standing Reach and Touch
*Please enter valid Weight
*Please enter valid Block Jump Touch
*Please enter valid Approach Jump Touch
*Please enter valid High School Coach Name
*Please enter valid High School Coach Phone Number
*Please enter valid High School Coach Email
*Please enter valid High School Uniform #
*Please enter valid Years Played
*Please enter valid Other High School Sports
*Please enter valid Club Team
*Please enter valid Club Team Coach
*Please enter valid Club Team Coach Phone Number
*Please enter valid Club Team Coach Email Address
*Please enter valid Club Team Website
*Please enter valid Club Years Played
*Please enter valid Club Team Honors/Accomplishments
Personal Contacts
Include any personal contacts you would like to share with this school.These contacts may receive emails, texts or calls for staff at the school.
First
Last
Close