Fields marked with * are mandatory
General

Legal First Name *
*Please enter valid Legal First Name
Last Name *
*Please enter valid Last Name
Preferred Name *
*Please enter valid Preferred Name
Middle Name
*Please enter valid Middle Name
Email Address *
*Please enter valid Email Address
Home Address 1 *
*Please enter valid Home Address 1
Home Address 2
*Please enter valid Home Address 2
City *
*Please enter valid City
State *
*Please enter valid State
Zip *
*Please enter valid Zip
Country
*Please enter valid Country
Citizenship
*Please enter valid Citizenship
Contact Number
*Please enter valid Contact Number
Cell Phone Number
*Please enter valid Cell Phone Number
Graduation Year *
*Please enter valid Graduation Year
Hobbies/Interests
*Please enter valid Hobbies/Interests
Date of Birth
*Please enter valid Date of Birth
Do you know anyone who has attended Ursinus?
*Please enter valid Do you know anyone who has attended Ursinus?
Have you visited Ursinus yet?

*Please enter valid Have you visited Ursinus yet?
Have you met with Coach Scavicchio on campus?

*Please enter valid Have you met with Coach Scavicchio on campus?
Non-athletic reasons you hope to attend Ursinus:
*Please enter valid Non-athletic reasons you hope to attend Ursinus:
Background

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

High School *
School Name
Address1
Address2
Address3
City
State
Zip
Country
CEEB Code
the school is not listed above
*Please enter valid High School
School Phone Number
*Please enter valid School Phone Number
Counselor's Name
*Please enter valid Counselor's Name
Counselor's Email
*Please enter valid Counselor's Email
GPA
*Please enter valid GPA
GPA Scale (i.e. 4.0/5.0)
*Please enter valid GPA Scale (i.e. 4.0/5.0)
SAT Total
*Please enter valid SAT Total
PSAT
*Please enter valid PSAT
Academic Honors
*Please enter valid Academic Honors
Other College Choices
*Please enter valid Other College Choices
Extracurriculars
*Please enter valid Extracurriculars
Unofficial Transcript
*Please enter valid Unofficial Transcript
Student Type

*Please enter valid Student Type
Other College Attending
*Please enter valid Other College Attending
School Profile
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Senior Class Schedule
*Please enter valid Senior Class Schedule
Academic Interest 1
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Academic Interest 2
*Please enter valid Academic Interest 2
Academic Interest 3
*Please enter valid Academic Interest 3
Are you considering applying Early Decision?
*Please enter valid Are you considering applying Early Decision?
Athletic

Position





*Please enter valid Position
Video Link
*Please enter valid Video Link
Height
FeetInch
*Please enter valid Height
Dominant Hand

*Please enter valid Dominant Hand
Standing Reach and Touch
FeetInch
*Please enter valid Standing Reach and Touch
Weight
*Please enter valid Weight
Block Jump Touch
FeetInch
*Please enter valid Block Jump Touch
Approach Jump Touch
FeetInch
*Please enter valid Approach Jump Touch
High School Coach Name
*Please enter valid High School Coach Name
High School Coach Phone Number
*Please enter valid High School Coach Phone Number
High School Coach Email
*Please enter valid High School Coach Email
High School Uniform #
*Please enter valid High School Uniform #
Years Played
*Please enter valid Years Played
Other High School Sports
*Please enter valid Other High School Sports
Club Team
*Please enter valid Club Team
Club Team Coach
*Please enter valid Club Team Coach
Club Team Coach Phone Number
*Please enter valid Club Team Coach Phone Number
Club Team Coach Email Address
*Please enter valid Club Team Coach Email Address
Club Team Website
*Please enter valid Club Team Website
Club Years Played
*Please enter valid Club Years Played
Club Team Honors/Accomplishments
*Please enter valid Club Team Honors/Accomplishments