Athletics & Recreation

Prospective Recruit Form

Email Address

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Address

First Name

Last Name

Street Address 1

Street Address 2

City

State / Province

Postal / Zip Code

Country

Home Phone

Cell Phone

Birthdate

Height and Weight

High School

High School Graduation Date

Last team you played for? Coaches contact information too, please.

Please list the teams you have played for in the last three years:

Please list your top athletic achievements and/or awards:

Academic program of interest at Dalhousie Agricultural Campus:

Please list any academic achievements and/or awards including your present course load and last assessed average.

Why are you interested in attending DAL AC and playing for the RAMS?

What do you think you can contribute to the sport program(s) of interest?

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Dalhousie University
Department of Athletics & Recreation
Halifax, Nova Scotia, Canada
1.902.494.3372

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Dalhousie University
Department of Athletics & Recreational Services
Halifax, Nova Scotia, Canada
1.902.494.3372