Kimball Union Academy 1813
Kimball Union Academy 1813
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Athletic Inquiry
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Athletic Inquiry
If you're interested in athletics at KUA, we'd love to hear from you. Please fill out the athletic inquiry form below or contact Director of Athletics,
Mike Doherty.
Student Information
*First Name:
*Last Name:
Gender:
Male
Female
Current Grade:
7
8
9
10
11
12
Applying for Grade:
9
10
11
12
PG
Year of Entry to KUA:
2011-12
2012-13
2013-14
2014-15
Applying for Financial Aid:
Yes
No
Email:
Address 1:
Address 2:
City:
State:
Zip:
*Date of Birth:
Current GPA:
SAT Math score (if known):
SAT Verbal score (if known):
Height:
Weight:
*Current School:
Referred by:
Sport 1:
Position 1:
Coach 1:
Coach 1 phone #:
Achievements, Awards or Distinctions 1:
Sport 2:
Position 2:
Coach 2:
Coach 2 phone #:
Achievements, Awards or Distinctions 2:
Sport 3:
Position 3:
Coach 3:
Coach 3 phone 3:
Achievements, Awards or Distinctions 3:
Additional Sports:
Additional References
*Asterisk indicates required field
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