Sea-Hawks Prospective Student-Athlete Recruitment Form

Email address *

First name *

Last name *

Address 1 *

Address 2

City *

State *

ZIP Code *

Cell Phone Number *

Home Phone Number: *

Sport of interest: *

Basketball Cross Country Running Curling Soccer Swimming Track & Field Volleyball Wrestling

Date of Birth:

Parent 1's Name:

Parent 1's Phone Number:

Parent 2's Name:

Parent 2's Phone Number

Please supply a link to a highlight video (If applicable)

Are either of your parents graduates of Memorial University:

Yes No

GPA or Academic Average:

Academic Program Interests:

Why are you interested in attending Memorial University?

Year of High School Graduation:

High School Name:

High School Address:

Height:

Weight:

Current Position:

Other Positions Played:

High School Coach:

High School Coach's Name:

High School Coach's Email:

High School Coach's Phone Number:

Other Universities/Colleges you are considering:

Awards & Achievements: