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Prospective Athletes

1Personal Information

2Social Media

3Church Information

4Academic Information

5Athletic Information

Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Telephone
Cell Phone
Email*
Date of Birth
Month
Day
Year
Parents' Names

Facebook Profile Link
Twitter Username
Instagram Username

Church Name
Location
Church/Ministry Organization Involvement
Christian Testimony

High School Name
College Name (if applicable)
High School Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
High School Phone
High School Graduation Year
High School Grade-Point Average
Please enter a number from 1.0 to 4.0.
Intended Major
College Grade-Point Average (if applicable)
Please enter a number from 1.0 to 4.0.
SAT Score (verbal and math)
Please enter a number from 400 to 1600.
ACT Score
Please enter a number from 1 to 36.
Do you plan to take either test again?
- Yes
- No
Which test do you plan to retake and when?
Have you ever applied here?
- Yes
- No
Do you intend to apply for financial aid?
- Yes
- No
Academic Honors
Other colleges you are interested in

Sport(s) you are interested in*
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- Men's Basketball
- Women's Basketball
- Men's Cross Country
- Women's Cross Country
- Men's Soccer
- Women's Soccer
- Men's Track & Field
- Women's Track & Field
- Men's Volleyball
- Women's Volleyball
Priority Code
Height
Weight
Current Team (if different from high school)
Letters won in this sport
Coach's Name
First Last
Coach's Phone
Position/Event
Career Statistics (include personal best times)
All-Conference honors in career (first team as a junior, etc.)
Other Athletic Honors in Career (all-state, all-area, etc.)
Other Honors
Team highlights in career

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EQUAL OPPORTUNITY POLICY FOR STUDENTS Regent University does not discriminate on the basis of race, color, sex, national or ethnic origin, disability, age or veteran status in admissions, treatment or access to its programs and activities, or in the administration of educational policies, scholarships, loan programs, athletics or other University programs. In addition, Regent does not discriminate based on religion, except as necessary to comply with Regent’s Standard of Personal Conduct and Statement of Christian Community and Mission. Telephone Consumer Protection Act (TCPA) Terms & Conditions By submitting your information and telephone number through the above “Request Information” form and clicking “Learn More” to request information (“Inquiry”), You agree that Regent University (“Regent”) and all of its related corporate entities, agents, independent contractors, assigns, and successors may call You through the use of any dialing equipment (including a dialer, automatic telephone dialing system, and/or interactive voice recognition system) and/or artificial or prerecorded voice or message, even if You are charged for the call or message. You expressly agree that such automated calls may be made by Regent and/or its related corporate entities, agents, independent contractors, assigns, and/or successors to any telephone number (including numbers assigned to any paging, cellular, or mobile service, or any service for which You are charged for the call) You have provided previously or may provide in the future in connection with Your Inquiry. You expressly consent to such automated calls. With such consent, You specifically waive any claim You may have against Regent and/or its related corporate entities, agents, independent contractors, assigns, and/or successors for the making of such calls, including any claim under federal or state law and specifically any claim under the Telephone Consumer Protection Act, 47 U.S.C. § 227. You also expressly agree that this provision applies to the use of text messaging. You expressly consent to the receipt of text messages from Regent and all of its related corporate entities, agents, independent contractors, assigns, and successors at any telephone number (including numbers assigned to any paging, cellular, or mobile service, or any service for which You are charged for the call) You have provided previously or may provide in the future in connection with Your Inquiry. You are not required to accept this consent to obtain any good or service.

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