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Athletic Interest
Hi, thank you for your interest in Salem State University!
Please fill out this prospective athletic form.
Contact Information
First Name
Last Name
Email
Mobile Phone
Home Phone
Birthdate (mm/dd/yyyy)
Student Type/Admissions Category
First-time Freshman
Transfer
What is your current or most recent high school?
High School Graduation Year
What is your current or most recent college/university?
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Athletic Information
Primary sport of interest
Please select...
Baseball
Field Hockey
Men's Basketball
Men's Golf
Men's Ice Hockey
Men's Lacrosse
Men's Soccer
Men's Tennis
Softball
Women's Basketball
Women's Ice Hockey
Women's Lacrosse
Women's Soccer
Women's Tennis
Women's Volleyball
Height
Please select...
Under 5'
5'
5'1"
5'2"
5'3"
5'4"
5'5"
5'6"
5'7"
5'8"
5'9"
5'10"
5'11"
6'
6'1"
6'2"
6'3"
6'4"
6'5"
6'6"
6'7"
6'8"
6'9"
6'10"
6'11"
7' or taller
Weight
Please select...
Under 100 lbs
100 - 110 lbs
111 - 120 lbs
121 - 130 lbs
131 - 140 lbs
141 - 150 lbs
151 - 160 lbs
161 - 170 lbs
171 - 180 lbs
181 - 190 lbs
191 - 200 lbs
201 - 210 lbs
211 - 220 lbs
221 - 230 lbs
231 - 240 lbs
241 - 250 lbs
251 lbs or more
Current Team (if different from high school)
Coach's Name
Coach's Phone
Position
All Athletic honors in career (first team as a junior, etc.)
Athletic Statistics
Academic Honors
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