Thank you for your interest in Salve Regina University football. If you are interested in trying out for varsity football please complete the following two-step process which will allow you to receive information from both our admissions office and Coach Robertson.

1. Complete the information for coach below. This allows you to ask specific football questions, and upon submission, will be emailed directly to the coach.
2. Complete the admissions office request for information form. This will allow admissions office mailings, such as course catalogs and viewbooks, to be sent to you.

ATHLETE INFORMATION

First Name:

Last Name:

Street Address:

City:

State: Select AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA WA WV WI WY District of Columbia

Zip:

Home phone:

Cell phone:

Email:

Date of Birth (mm/dd/yyyy):

List name, occupation, and college for:
Father
Mother

Parents marital status:
     Married
     Divorced
     Other

Brothers and Sisters (with ages):

Hobbies and interests:

High School:

City:

State: Select AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA WA WV WI WY District of Columbia

Zip:

Date of Graduation :

Guidance Counselor :

Standardized test scores:

SAT Verbal:

SAT Math:

SAT Written:

ACT:

Desired major or academic interest:

Academic honors:

Will you apply for financial aid?
     Yes
     No

Football position

Offense:

Defense:

Special:

Preferred:

Height:

Weight:

Speed (40):

Jersey No.:

Athletic honors:

Other sports interested in:

Friends and/or alumni at SRU you know:

Top 3 college choices: