Prospective Recruit Form

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Sport *

Position *

First Name *

Last Name *

Email address *

Phone Number *

please include area code

Street Address 1 *

Street Address 2 *

City/Town *

Province/State *

Postal/Zip Code *

Country *

Birthdate *

Height *

Weight *

Academic Average *

Academic Program of Interest *

Have you alreday applied to Dalhousie? *

Yes No

High School *

Graduation Date *

What was the last team you played for? Please provide the coach's name and contact information. *

Please list your top athletic achievements and/or awards *

Please list any academic achievements and/or awards *

Why are you interested in attending Dalhousie and playing for the Tigers? *

* required field