Request for Information

NOTE: If you are under the age of 13, please have your parent fill out this request form.
*denotes a required field

Personal Information

Student First Name*

Last Name*

Birthdate*

Email*

Cell Phone Number*

Mailing Address

Country

Street

City

Region

Postal Code

Sex

Female

Male

High School Information

NOTE: If you are home schooled, please enter "home schooled" as your High School Name.

High School Name *
Type your school name, then click on your school when it comes up in the box below:

School CEEB:

Year of Graduation

GPA

Additional Information

I plan to study

Year entering Cedarville University*

I will be entering as a

Freshman

Transfer

Athletic Profile

Sport interested in

High School Coach

Coach's Phone Number

Coach's Email

Have you registered with the NCAA Eligibility Center? *

Yes

No

10-digit NCAA Eligibility Center #

Greatest athletic achievement

When did you begin your athletic career?

Serious injuries

Height

Weight

Dominant hand

Left Hand

Right Hand

Please list any notable academic and extracurricular accomplishments

Basketball Information

Preferred position

Team record

Points per game

Rebounds per game

Assists per game

Steals per game

Turnovers per game

Field goal %

Free throw %

3 point field goal %

Basketball highlight video

Men's Baseball

Primary position

Secondary position

Hitting: Batting Average

Hitting: Home runs

Hitting: Doubles

Hitting: Triples

Hitting: RBI

Hitting: Stolen Bases

Add pitching statistics

Pitching: Innings

Pitching: Record

Pitching: K's

Pitching: BB

Pitching: Radar gun speed

Summer team

Preferred Position

Team record

Softball Information

Primary position

Preferred position - 2

Preferred position - 3

Preferred position - 4

Add another preferred position

Travel Coach's Name

Travel Coach's Phone Number

Travel Coach's Email

Additional Sports

Throws

Bats

Fastball speed (mph)

Change up speed (mph)

List other pitches

Track and Field/Cross Country Information

Mileage per week

Mileage per year

Number of months you train per year

What track and cross country events do you compete in? (check all that apply)

Best/Avg Perf: 100

Best/Avg Perf: 200

Best/Avg Perf: 400

Best/Avg Perf: 800

Best/Avg Perf: 1600

Best/Avg Perf: 3200

Best/Avg Perf: 100/110 HH

Best/Avg Perf: 300/400 IH

Best/Avg Perf: Discus

Best/Avg Perf: Hammer and Weight

Best/Avg Perf: Javelin

Best/Avg Perf: Shot Put

Best/Avg Perf: 3.1 mile

Best/Avg Perf: Pole Vault

Best/Avg Perf: High Jump

Best/Avg Perf: Long Jump

Best/Avg Perf: Triple Jump

Best/Avg Perf: Decathlon

Best/Avg Perf: Heptathalon

Best/Avg Perf: Pentathlon

Golf Information

Summer Tournament Results (list tournament, score, finish, course rating and yardage)

Personal 18 hole record

Summer Tournament Average

High School Average

Handicap

Other Golf Accomplishments

Other Information

How are you involved in your church?

Soccer Information

Name of league/conference

Name of state tournament in which your high school participates (OHSAA, ACSI, etc)

Positions played

Name of club team

Name of club league

Club coach's name

Club coach's phone number

Club coach's email

Name of club tournaments

Positions played for club

Have you participated in your state's ODP program?

Yes

No

At what levels?

District

State pool

State team

Other

Have you attended soccer camps?

Yes

No

List the most recent camps.

Tennis Information

Number of seasons you played in high school

Did you play singles and/or doubles?

Singles

Doubles

Most recent singles record

Most recent doubles record

Did you play USTA tennis?

Yes

No

Most recent USTA ranking

Volleyball Information

Name of volleyball club

Club coach's name

Club coach's phone number

Club coach's email

Approach Jump

Block Touch

Volleyball Weaknesses

Volleyball Strengths

Church Information

What church do you attend?

Additional Information

Are you a US Citizen?

Yes

No

Country of Citizenship (US)

Country of Citizenship

Hispanic (optional)

Yes

No

Ethnicity (optional)

Parent/Guardian Information

To whom should we send information?

One Parent/Guardian

Two Parent/Guardians

Parent/Guardian 1:

First Name

Last Name

Email Address

Parent/Guardian 2:

First Name

Last Name

Email Address

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me informational updates via text and email. (standard messaging rates apply).