Create Athletics Recruitment Form | University of Prince Edward Island

Contact Information

First Name: *

Last Name: *

Home Phone (Include Area Code): *

Other Phone (Include Area Code):

Email Address: *

Street Address: *

City / Town:

Province / Territory / State:

Postal Code / Zip Code:

Country:

Academic Information

Academic Average:

Level of Schooling:

Graduation Date:

Academic Interest at UPEI:

Have you already applied to UPEI?: *

Athletic Information

Positions:

Sport(s) Interest:

Height:

Weight:

Current Team or School:

Coach's Name and Contact Number:

UNIVERSITY OF PRINCE EDWARD ISLAND