DOMINICAN COLLEGE ATHLETICS
Women's Soccer Information Request Form
Thank you for your interest in the DOMINICAN COLLEGE ATHLETICS PROGRAM. Please fill out the following form and click on the submit button at the bottom. The appropriate coach(es) will be in touch very soon. A copy of your response will be forwarded to our admissions office. They will send along appropriate materials concerning the application procedure.
Name: First M.I. Last
Date of Birth: Month Day Year
E-Mail
Address
City State Zip
Telephone (with area code)
Best Time to Call
Mother's Name Father's Name
High School or Junior College
School Address
School Code
Coach(es)
Telephone(s) (with area code)
Position(s)
Height Weight
Last Season Stats
Last Season Honors
ACT Scores SAT Scores Class Rank
Expected Date of Graduation
Grade Point Average
Desired Major
Do you plan to live on campus? Yes No Undecided
Have you registered with the NCAA Clearinghouse? Yes No
Questions or Comments?Send us an e-mail at admissions@dc.edu
Please double check your entries to make sure they are correct.
DEPARTMENT OF ATHLETICS
DOMINICAN COLLEGE, 470 WESTERN HIGHWAY
ORANGEBURG, NEW YORK 10962
Main Office (845) 848-7710
Fax (845) 398-3042