Note: This questionnaire is not an official application to the University. Please go to Georgian Court On-line Application to apply for admission.

Submit form online or print form and mail to Athletics Department, Georgian Court University, 900 Lakewood Ave., Lakewood, NJ 08701.

Prospective Athlete

* designates required information

Personal Information

*First Name:
*Last Name:
Middle Initial:
*Address 1:
Address (cont.):
*City:
*State/Province:
*Zip/Postal Code:
Country:
Phone (Day): (xxx xxx-xxxx)
Phone (Other): (xxx xxx-xxxx)
Other phone is:
*E-mail:
Date of Birth: (MM/DD/YYYY)
Year of Graduation: (YYYY)
Have you completed
the NCAA Clearinghouse?

Academic Information

SAT Math:
SAT Verbal:
ACT Score:
Current GPA (4-pt Scale):
*High School:
Address 1:
Address 2:
City:
State:
Zip Code:
Guidance Counselor:
Counselor Phone: (xxx xxx-xxxx)
Desired Field of Study:

Sport-Specific Information

Position:
Height: (feet, inches)
Coach:
Coach Phone: (xxx xxx-xxxx)
Club/AAU/Summer Team:
Club Coach:
Club Phone: (xxx xxx-xxxx)
Statistics:

Check one or more sports for which you want to be considered:
Hold CTL key to select more than one

Personal Bests:
 

Questions or Comments:
 

 

 


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