Fields marked with * are mandatory
General

First Name *
*Please enter valid First Name
Last Name *
*Please enter valid Last Name
Email Address *
*Please enter valid Email Address
Home Address1
*Please enter valid Home Address1
Home Address2
*Please enter valid Home Address2
City *
*Please enter valid City
State/Province *
*Please enter valid State/Province
Zip
*Please enter valid Zip
Contact Number
*Please enter valid Contact Number
CellPhone Number
*Please enter valid CellPhone Number
Graduation Year
*Please enter valid Graduation Year
Country
*Please enter valid Country
USports Number
*Please enter valid USports Number
https://usportscentral.ca/StudentCentre/
*Please enter valid https://usportscentral.ca/StudentCentre/
Part-Time Employment?
*Please enter valid Part-Time Employment?
Twitter Username
*Please enter valid Twitter Username
Facebook Link
*Please enter valid Facebook Link
Instagram Username
*Please enter valid Instagram Username
Background

Mother's Name
*Please enter valid Mother's Name
Mother's Occupation
*Please enter valid Mother's Occupation
Mother's Phone Number
*Please enter valid Mother's Phone Number
Mother's Email
*Please enter valid Mother's Email
Father's Name
*Please enter valid Father's Name
Father's Occupation
*Please enter valid Father's Occupation
Father's Phone Number
*Please enter valid Father's Phone Number
Father's Email
*Please enter valid Father's Email
Date of Birth *
*Please enter valid Date of Birth
Academic

High School/College
School Name
Address1
Address2
Address3
City
State
Zip
Country
CEEB Code
the school is not listed above
*Please enter valid High School/College
School Phone Number
*Please enter valid School Phone Number
Academic Honors
*Please enter valid Academic Honors
Intended Major
*Please enter valid Intended Major
Other College Choices
*Please enter valid Other College Choices
Grade 11 Average
*Please enter valid Grade 11 Average
Grade 12 Average
*Please enter valid Grade 12 Average
Grade 12+ Average
*Please enter valid Grade 12+ Average
R-Score (For CEGEP)
*Please enter valid R-Score (For CEGEP)
3 Things you seek in choosing University
*Please enter valid 3 Things you seek in choosing University
Transcript Upload
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Athletic

Position *





















*Please enter valid Position
Secondary Position


















*Please enter valid Secondary Position
Highlight Link 1
*Please enter valid Highlight Link 1
Highlight Link 2
*Please enter valid Highlight Link 2
Height
FeetInch
*Please enter valid Height
Weight
*Please enter valid Weight
Bench Press
*Please enter valid Bench Press
40 Time
*Please enter valid 40 Time
Jersey Number
*Please enter valid Jersey Number
High School Team
*Please enter valid High School Team
High School Coach
*Please enter valid High School Coach
Club Team
*Please enter valid Club Team
Club Coach
*Please enter valid Club Coach
Select Team (ie. Team Canada)
*Please enter valid Select Team (ie. Team Canada)
Select Team Coach
*Please enter valid Select Team Coach
Football Honors
*Please enter valid Football Honors