Athletics

Intercollegiate Athletics

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First Name:

Middle Initial:

Last Name:

Address:

City:

State:

Zip:

Phone:

Email:

I am interested in attending Evergreen:

Quarter:

Year:

My primary area of academic interest is:

I am interested in the following intercollegiate sport(s):

Men's Soccer		Women's Soccer
Men's Basketball		Women's Basketball
Men's Cross Country		Women's Cross Country
Track and Field		Women's Volleyball

School Information:

Last school attended or school currently enrolled in (College/University if transfer):

State in which the school is situated:

Year in school:

what sports did you participate in which in high school or college?

OPTIONAL -- My ethnic background is:

Asian	Pacific Islander	Other:
African American	Hispanic
Caucasian	American Indian

Comments or requests:

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