Club Sports - Kickline (W)

This form is for prospective students interested in attending Sacred Heart University who would like more information on our Club Kickline program.

If you are a current SHU student interested in participating in Club Kickline, please go to our Club Sports website to create an account and fill out a Club Kickline registration form.

Personal Information

First Name

Last Name

Birthdate

Sex

Primary Citizenship

Contact Information

Current Mailing Address

Country

Street

City

Region

Postal Code

Email Address

Mobile Phone

Home Phone

Academic Information

High school from which you will graduate (Type to begin search)

CEEB Code

Entry Term

Student Type

Freshman

Freshman International

Transfer

Transfer International

Undergraduate Major of Interest

Are you interested in one of the dual degree (undergraduate & graduate) programs?

Are you interested in pursuing a graduate program at SHU?

Are you interested in one of the following 3+3 bachelor's and JD/PharmD programs with a partner institution?

Sport Information

Experience

Events Completed

Accolades

*Hidden Field - Interest Type*

*Hidden Field - Interest Name*

*Hidden Field - Academic Level

*Hidden Field - Active Interest = Yes

Yes

No

*Hidden Field Interest Order = 35 for Club Sports

*Hidden Field - Inquiry Interest = Yes

Yes

No

*Hidden Field Inquiry Date = Today

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Club Sports - Kickline (W)

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