Prospective Athlete Form

This form is not an official SUNY Old Westbury application.

Email Address

First Name

Middle Name

Last Name

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Phone

Mobile Phone

Receive Text Messages

Yes

No

Academic Information

Student Type

Freshman

Transfer

High School Name

High School CEEB

High School Graduation Year

High School GPA

SAT Score (verbal and math)

ACT Score

College Name

College CEEB

College GPA

Other colleges you are interested in

Entry Term

Intended Major

Athletic Information

Primary Sport you are interested in

Men's

Women's

Primary Sport

Other Sports

Primary Sport

Other Sports

Current Team (if different from high school)

Letters Won in this sport

Coach's Name

Coach's Phone

Position

Career Statistics (include personal best times):

All-Conference honors

Other Athletic Honors

Other Honors

Team Highlights