Prospective Student-Athlete Form

First Name Social Security Number
Last Name Phone
(must include area code)
(no dashes)
Home Address
City Date of Birth
(MM/DD/YEAR)
State
Zip
Email Address
Height Weight
Intended Major
High School/Junior College Graduation Date
(MM/DD/YEAR)
Grade Point Average Class Rank
SAT Score ACT Score
High School/
Junior College Coach
Coach's Phone Number
Event #1 Event #1 Time/Distance
Event #2 Event #2 Time/Distance
Event #3 Event #3 Time/Distance
Event #4 Event #4 Time/Distance
Event #5 Event #5 Time/Distance
Other Colleges that you are interested in:
Name of Father Name of Mother
My Parents are: I live with:
Siblings:
What is your athletic dream goal?
What is your academic dream goal?
Successfully submitting this form will return you to the UNH Track & Field homepage.
University of New Haven
University of New Haven
300 Boston Post Road
West Haven CT 06516
1-800 DIAL-UNH or 1-800-342-5864
Return to the UNH Athletics homepage