Athletic Interest Form  
As of Summer 2011, all participating student athletes must have a college GPA of 2.0 and be enrolled for at least 9 credit hours.
Please Fill Out ALL Fields
First Name:  
Last Name:  
Gender  
  Date of Birth:
 
 
  Age:  
Current Cumulative GPA:  
  Program of Study:  
  Address:  
  City:  
  State:  
Zip Code:  
Phone:
(Please Include the Area Code)
  
 
 
Email:
 
 



Sport(s) you are interested in playing:



Position(s) you have played:

 
 
  Number of years you have been involved in this specific sport:
 
 
  Did you play in High School?  
  If so, did you play Varsity?  
Please list any athletic awards or honors you received
and the date(s):
 
Other sports you have played competitively and any awards/honors you received (and dates):

 


  Additional comments, questions, or concerns:
   







Office of Student Athletics | 300 Campus Drive, Parkersburg, WV  26104-8647
Phone: (304) 424 - 8309
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