2021-22 La Verne Student-Athlete Form
Email
Secondary Email
There are errors with your form submission. Please review and submit again
Email address *
First name *
Last name *
Cell Phone Number *
Sport *
Baseball
Men's Basketball
Women's Basketball
Men's Cross Country
Women's Cross Country
Football
Men's Golf
Women's Golf
Men's Soccer
Women's Soccer
Softball
Men's Swimming and Diving
Women's Swimming and Diving
Men's Track and Field
Women's Track and Field
Volleyball
Men's Water Polo
Women's Water Polo
Year *
Fr.
So.
Jr.
Sr.
Gr.
Athletic Eligibility Year (If different from academic year)
Fr.
So.
Jr.
Sr.
Position(s)/Event(s) *
Height *
(ex. 5-11)
Weight
(Males only; ex. 175)
Hometown *
(ex. La Verne, CA)
High School *
Major *
Bats/Throws
Baseball and softball; ex. L/R
Preferred pronouns
i.e. she/her/hers, he/him/his, they/them/their/theirs, ze/hir/hirs, use my name and no pronouns
Did you participate in intercollegiate athletics at another four year college, university, or junior college? *
Yes
No
If you answered yes, list all schools, years attended, and sports played (i.e Citrus College 2011, baseball/track; Fresno State, 2012-13, baseball)
Do you play multiple sports at La Verne? *
Yes
No
If yes, list all other sports in which you participate at ULV other than the one indicated on this form.
High School Athletic Achievements *
ex. 2015 State Champion ... named 2015 First Team All League ... served as team captain
High School Academic Achievements *
ex. Made Honor Roll in 2014 and 2015 ... maintained 4.0 GPA throughout high school
College Athletic Achievements *
ex. First Team All-SCIAC 2012...All-West Region 2012...All-American 2012...served as team captain 2011-2012....All-Conference at Mt. SAC...etc.
College Academic Achievements *
ex. SCIAC All-Academic...Dean's List freshman and junior year...CoSIDA Academic All-American
Personal Records
(Track/XC/Swim only - list time, event, meet and date; ex. 11.00, 100m, 2016 SCIAC Championship, 5/25/16)
Why Did You Choose La Verne? (in two to three sentences) *
Newcomers (freshmen/transfers) only - One to three sentences; upperclassmen write N/A unless you want it changed on your current bio
List all other clubs/organizations at the University at La Verne in which you belong
Extracurricular Activities
Volunteer work, internships, etc.
Fun Facts About Yourself
i.e. Eagle Scout...can speak five languages...can play four musical instruments
Club/Travel Team
Hometown Newspaper *
Parent/Guardian 1 Name *
Parent/Guardian 1 Email *
Parent/Guardian 1 Phone Number *
Parent/Guardian 2 Name *
Parent/Guardian 2 Email *
Parent/Guardian 2 Phone Number *
Twitter Handle
ex. @ULVAthletics
Instagram Handle
ex. @ULVAthletics
Submit
* required field