Athletic Interest Form

This is not an official university application. If you have completed your junior year of high school or are currently enrolled in college, you may apply to the university at rockhurst.edu/apply.

Your Information

First Name*

Middle Name

Last Name*

Mailing Address*

Country

Street

City

Region

Postal Code

Cell Phone Number

I give permission to Rockhurst University to send me important updates via text messaging. (Standard message charges apply.)

Yes

Email Address*

Confirm email address*

Birthdate*

Female

Male

Your Parent/Guardian Information

Parent 1 First Name

Parent 1 Last Name

Parent 2 First Name

Parent 2 Last Name

Future Plans

Are you a freshman or a transfer student?*

Freshman (Current high school student or no college courses after high school)

Transfer (Completed some college coursework after high school)

When do you want to start at Rockhurst?*

What are you interested in studying?

Education History

High school

High school graduation date

Current GPA

Highest Composite ACT or SAT score (if already taken)

Athletic Data

Primary sport of interest

Position/Event

Height

Weight

Letters won in this sport

Statistics and Honors

High School Coach's Name

High School Coach's Phone

Club Team

Club Coach's Name

Club Coach's Phone

Have you registered with the NCAA Eligibility Center?

Yes

NCAA Eligibility Center ID Number (10 digit number)