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Contact Information
First Name:
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Last Name:
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Home Phone (Include Area Code):
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Other Phone (Include Area Code):
Email Address:
*
Street Address:
City / Town:
Province / Territory / State:
Postal Code / Zip Code:
Country:
Academic Information
Academic Average:
- None -
Above 90%
85-90%
80-84%
75-89%
70-75%
Below 70%
Level of Schooling:
- None -
High School
College
University
Graduation Date:
Academic Interest at UPEI:
Have you already applied to UPEI?:
*
Yes
No
Athletic Information
Positions:
Sport(s) Interest:
Height:
- None -
4'5
4'6
4'7
4'8
4'9
4'10
4'11
5'0
5'1
5'2
5'3
5'4
5'5
5'6
5'7
5'8
5'9
5'10
5'11
6'0
6'1
6'2
6'3
6'4
6'5
6'6
6'7
6'8
6'9
6'10
6'11
7'0
Weight:
Current Team or School:
Coach's Name and Contact Number:
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