The form below is for the use of prospective student athletes who wish to play intercollegiate sports at Regis University. Please use this form to contact our coaching staff and sports information department. Note: any information you submit is voluntary and will be kept on file in the Athletic Department. Information will not be sold or released to third parties.

Personal Information

Choose a Sport Baseball Lacrosse Men's Basketball Men's Cross Country Men's Golf Men's Soccer Softball Volleyball Women's Basketball Women's Cross Country Women's Golf Women's Soccer

Name:

E-Mail Address:

Street Address:

City: State: ZIP: Phone:

Date of Birth: Height: Weight:

Father: Occupation:

College Attended:

Mother: Occupation:

College Attended:

High School Coach: Home Phone:

Sisters: Brothers:

Academic Information

High School: Phone:

Address:

Guidance Counselor: Grad Date:

GPA: ACT Score: SAT Score:

Intended major(s): Choose Accounting Advertising Allied Health Art Athletic Training Biology Botany Business Administration Business Computing Systems Business Education Chemistry Coaching Computer Science Earth Science Economics Elementary Education English Environmental Science Finance Foreign Language Geology Government Hispanic/Southwest Studies History Journalism Liberal Arts Management Marketing Mathematics Medical Technology Music Education Music-Instrumental Music-Performance Music-Vocal Office Management Physical Education Physics Pre-Dentistry Pre-Engineering Pre Arch. Engineering Pre-International Business Pre-Law Pre-Medicine Pre-Nursing Pre-Optometry Pre-Osteopathy Pre-Pharmacy Pre-Physical Therapy Pre-Veterinary Psychology Science Secondary Education Small Business Administration Social Studies Sociology Spanish Speech/Theater Sport & Exercise Mgmt. Undecided Zoology

Academic Interest in College:

Academic Honors and Comments:

Name of college: Year of college graduation:

College coach's name: College coach's phone:

College coach's e-mail:

Position Played:

Athletic statistics or best performances (averages, percentages, points, times, etc.)

Achievements and awards in your primary sport (MVP, all-conference, all-state...please name conference and state):

Achievements and awards in other sports OR academics:

Other colleges/prep schools attended, sports you played, and accomplishments in those sports:

Athletic Atributes (such as timed speed, bench press, squat, and vertical leap) Sport appropriate:

Give a short explanation of why you want to be a Ranger and why
you would be competitive: