In addition to this questionnaire, please send the following: 1. DVD of current skill level. 2. Photo of yourself. Thank you for your attention to these matters. If you have any questions please contact us at your convenience. Please send above mentioned items to Oregon State University, Michael Chaplin - Assoc. Head Coach, 104 Gill Coliseum, Corvallis, OR 97331.Required Fields in Bold.

Student Athlete Information

Full Name

Today's Date

Birth Date

Phone Number (Home & Cell)

Address

Parents/Guardian

Siblings

Email/Personal Website/Instant Messenger:

Athletic Information

Current Competition Level

Years at current level

Height

Current Gymnastics Club

Years at Current Club

Current Club Address

Current Coach(es)

Current Club Website

Current workout times

List other clubs you've trained at since 9th grade

List former coaches you've had since 9th grade

List any injuries that have required surgery, and date of surgery

Athletic Achievements

Collegiate Athletic Goals

Favorite Event

Academic Information

High School

Principal

High School Counselor

High School Phone

High School Address

Year in School

Graduation Date

Cumulative GPA

Have you registered with the NCAA clearinghouse? (If no, call 800-638-3731 to register)
Choose One Yes No

Have you taken the PSAT/SAT test? (Please give the date and score)

Have you taken the ACT test? (Please give the date and score)

What are you considering as a major course of study?

Academic Achievements/Awards

List the top five universities you are considering:

Please Verify the Charactes Before Submitting Your form: