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 Phone Number
*Please enter valid Home Phone Number
Cell Phone Number
*Please enter valid Cell Phone Number
Home Address
*Please enter valid Home Address
City
*Please enter valid City
State
*Please enter valid State
Zip
*Please enter valid Zip
Date of Birth
*Please enter valid Date of Birth
Entry Term
*Please enter valid Entry Term
Sex *

*Please enter valid Sex
Background

Parent(s) Name
*Please enter valid Parent(s) Name
Parent(s) Email
*Please enter valid Parent(s) Email
Have you served in the military or church mission?

*Please enter valid Have you served in the military or church mission?
If yes- when?
*Please enter valid If yes- when?
If yes- where?
*Please enter valid If yes- where?
Military service/church mission within next 2 yrs?


*Please enter valid Military service/church mission within next 2 yrs?
Academic

HS Graduation Year
*Please enter valid HS Graduation Year
High School
School Name
Address1
Address2
Address3
City
State
Zip
Country
CEEB Code
the school is not listed above
*Please enter valid High School
GPA
*Please enter valid GPA
ACT
*Please enter valid ACT
SAT Total
*Please enter valid SAT Total
Academic Honors
*Please enter valid Academic Honors
College Transfer

*Please enter valid College Transfer
College Name
*Please enter valid College Name
Semesters Completed
*Please enter valid Semesters Completed
Have you applied to SVU?
*Please enter valid Have you applied to SVU?
May we help you in planning a campus visit?

*Please enter valid May we help you in planning a campus visit?
Athletic

5K Best
*Please enter valid 5K Best
3 Mile Best
*Please enter valid 3 Mile Best
3200m Best
*Please enter valid 3200m Best
1600m Best
*Please enter valid 1600m Best
800 meter Best
*Please enter valid 800 meter Best
400m Best
*Please enter valid 400m Best
200m Best
*Please enter valid 200m Best
100m Best
*Please enter valid 100m Best
300m Hurdles Best
*Please enter valid 300m Hurdles Best
100/110m Hurdles Best
*Please enter valid 100/110m Hurdles Best
Long Jump Best
*Please enter valid Long Jump Best
Triple Jump Best
*Please enter valid Triple Jump Best
High Jump Best
*Please enter valid High Jump Best
Pole Vault Best
*Please enter valid Pole Vault Best
Shot Put Best
*Please enter valid Shot Put Best
Discus Best
*Please enter valid Discus Best
Javelin Best
*Please enter valid Javelin Best
Hammer Best
*Please enter valid Hammer Best
Tell me about your best race or performance effort
*Please enter valid Tell me about your best race or performance effort
High School Coach
*Please enter valid High School Coach
High School Coach Phone
*Please enter valid High School Coach Phone
Sport - Check All That Apply





*Please enter valid Sport - Check All That Apply