Student Athlete Interest Form

Prospective Student Athlete Information

Thank you for your interest in becoming a student-athlete at Governors State University, please complete the prospective student-athlete interest form. Your completed form will be emailed to a coach who will promptly follow-up with you.

Question Title

* 1. Please provide us with your contact information:

First Name: *

Last Name: *

Address 1:

Address 2:

City/Town:

State:

ZIP:

Country:

Email Address: *

Phone Number:

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* 2. Date of Birth:

Format:

Date

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* 3. Which sports are you interested in?

Men's Basketball

Women's Basketball

Women's Volleyball

Men's Golf

Women's Golf

Men's Cross Country

Women's Cross Country