Virginia Intermont College

Athletic Interest

Athletic Interests *

BaseballCycling (Men's and Women's)
Men's BasketballEquestrian Team
Women's BasketballSoftball
Men's SoccerGolf
Women's SoccerVolleyball

Basic Information

Full Name

First Name *

Middle Name

Last Name *

Preferred Name

Country

Address Line 1 *

Address Line 2

City *

State

Foreign Province

Zip *

Phone *

- -

Cell Phone

E-mail *

Verify E-mail

DOB *

Are you Married?

Y
N

Father's Name

Father's Occupation

Mother's Name

Mother's Occupation

Would you like to visit campus?

Scholastic Information

I am a *

Intended Major *

Entry Term *

Entry Year *

High School Name

High School Code

Find your code here.

High School Graduation Year

Self Reported High School GPA

Self Reported ACT Score

Self Reported SAT Score

College Name

College Code

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Self Reported College GPA

Self Reported Hours Passed

Baseball

Baseball Name of High School Coach

Baseball High School Coach's Phone Number

Baseball Position

Bat

Throw

Baseball Height

Baseball Weight

Baseball 60-yard time

Baseball Years Lettered in Varsity

Baseball Team Record Wins

Baseball Team Record Lost

Baseball AB

Baseball HR

Baseball BA

Baseball FA

Baseball R

Baseball RBI

Baseball PO

Baseball H

Baseball BB

Baseball ASST

Baseball 2B

Baseball SO

Baseball E

Baseball 3B

Baseball SB

Baseball DP

Baseball Pitching GP

Baseball Pitching ERA

Baseball Pitching Won

Baseball Pitching Lost

Baseball Pitching BB

Baseball Pitching IP

Baseball Pitching H

Baseball Pitching SO

Baseball Pitching R

Baseball Pitching ER

Baseball Years of Eligibility Left

Class Rank

Baseball Athletic and/or Academic Honors/Awards

Are game/match tapes available?

Softball

Softball Name of High School Coach

Softball High School Coach's Phone Number

Softball Position

Softball Team Record Wins

Softball Team Record Lost

Softball AB

Softball HR

Softball BA

Softball FA

Softball R

Softball RBI

Softball PO

Softball H

Softball BB

Softball ASST

Softball 2B

Softball SO

Softball E

Softball 3B

Softball SB

Softball DP

Softball Pitching GP

Softball Pitching ERA

Softball Pitching Won

Softball Pitching Lost

Softball Pitching BB

Softball Pitching IP

Softball Pitching H

Softball Pitching SO

Softball Pitching R

Softball Pitching ER

Softball Years of Eligibility Left

Softball Bat

Softball Throw

Softball Class Rank

Softball Athletic and/or Academic Honors/Awards

Softball Are game/match tapes available?

Men's Basketball

Men's Basketball Name of High School Coach

Men's Basketball High School Coach's Phone Number

Men's Basketball Name of AAU Coach

Men's Basketball AAU Coach's Phone Number

Men's Basketball Positions Played

Men's Basketball Scoring Average

Men's Basketball Field Goal Percentage

Men's Basketball Height

Men's Basketball Weight

Men's Basketball Class Rank

Men's Basketball Years of Eligibility Left

Men's Basketball Athlet and/or Acad Honors/Awards

Men's Basketball Are game/match tapes available?

Women's Basketball

Women's Basketball Name of High School Coach

Women's Basketball HS Coach's Phone Number

Women's Basketball Name of AAU Coach

Women's Basketball AAU Coach's Phone Number

Women's Basketball Positions Played

Women's Basketball Scoring Average

Women's Basketball Field Goal Percentage

Women's Basketball Height

Women's Basketball Weight

Women's Basketball Years of Eligibility Left

Women's Basketball Class Rank

Women's Basketball Athlet and/or Acad Honors/Award

Women's Basketball Are game/match tapes available?

Men's Soccer

Men's Soccer Name of High School Coach

Men's Soccer High School Coach's Phone Number

Men's Soccer Club Coach Name

Men's Soccer Club Coach's Phone Number

Men's Soccer Position

Men's Soccer Height

Men's Soccer Weight

Men's Soccer Goals Scored

Men's Soccer Assists

Men's Soccer Years of Eligibility Left

Men's Soccer Class Rank

Men's Soccer Athletic and/or Academic Honors/Award

Men's Soccer Are game/match tapes available?

Women's Soccer

Women's Soccer Name of High School Coach

Women's Soccer High School Coach's Phone Number

Women's Soccer Club Coach Name

Women's Soccer Club Coach's Phone Number

Women's Soccer Position

Women's Soccer Height

Women's Soccer Weight

Women's Soccer Goals Scored

Women's Soccer Assists

Women's Soccer Class Rank

Women's Soccer Years of Eligibility Left

Women's Soccer Athlet and/or Acad Honors/Awards

Women's Soccer Are game/match tapes available?

Volleyball

Volleyball Name of High School Coach

Volleyball High School Coach's Phone Number

Volleyball Club Coach Name

Volleyball Club Coach's Phone Number

Volleyball Position

Volleyball Height

Volleyball Weight

Volleyball Standing Reach (1 Hand)

Volleyball Spike Approach Reach 1 foot

Volleyball Spike Approach Reach 2 feet

Volleyball Class Rank

Volleyball Years of Eligibility Left

Volleyball Athletic and/or Academic Honors/Awards

Volleyball Are game/match tapes available?

Golf

Golf Name of High School Coach

Golf High School Coach's Phone Number

Golf Name of Home Course

Golf Head Pro

Golf Head Pro Phone Number

Golf Slope of Home Course

Golf Rating

Golf Handicap

Golf Height

Golf Weight

Golf Class Rank

Golf Years of Eligibilty Left

Golf Best tournament performances

Golf Athletic and/or Academic Honors/Awards

Golf Are game/match tapes available?

Cycling

Cycling Name of High School Coach

Cycling High School Coach's Phone Number

Cycling Class Rank

Cycling Years of Eligibility Left

Cycling Athletic and/or Academic Honors/Awards

Equine

Equine Riding Experience

Equine Name of High School

Equine Previous Trainer/Coach

Equine Previous Trainer's Phone Number

Riding Discipline

Hunters
Hunter Seat Equitation
Jumpers
Dressage
Eventing

Equine Class Rank

Login Information

Login *

Password *

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Hidden Attributes

Inquiry Date

Admission Funnel Status

Hidden Attributes

High School Address1

High School Address2

High School City

High School State

High School Zip

College City

College State

College Zip

	Highland View Park
	Sugar Hollow Park
	Boyce Cox Field
	Wrigley Field