Recruiting Form

Notice of Availability: University of Jamestown’s annual security and fire safety report for the Jamestown and Fargo campuses are available online at https://www.uj.edu/ASFSR. The report contains information regarding campus security and personal safety including topics such as: crime prevention; campus safety authority; crime reporting policies; fire safety; programs to prevent dating violence, domestic violence, sexual assault and stalking; and other matters of importance related to security on campus. If you would like to receive a hard copy of the Annual Security and Fire Safety Report, you can stop by the Student Affairs Office in Lyngstad Center or by calling 701-252-3467 ext. 5442.

Name *

First

Last

Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Email address *

TWITTER HANDLE

Home Phone

(###) ### ####

Cell Phone

(###) ### ####

Date of Birth

MM DD YYYY

Father's Name

First

Last

FATHER'S EMAIL

FATHER'S OCCUPATION

Mother's Name

First

Last

MOTHER'S EMAIL

MOTHER'S OCCUPATION

Would you like to visit the campus?

Yes No Already Visited

SCHOLASTIC INFORMATION

HIGH SCHOOL

High School Phone

(###) ### ####

Graduation Date *

(###) ### ####

GPA *

CLASS RANK

ACT

SAT

INTENDED MAJOR

PREVIOUS COLLEGE INFORMATION

COLLEGE NAME

GPA

HOURS PASSED

YEARS OF ELIGIBILITY LEFT

SPORTS

ADDITIONAL ATHLETICS INFORMATION

HS/College Coach Name

First

Last

HS/College Coach Phone

(###) ### ####

HS/COLLEGE COACH EMAIL

POSITION(S)

ATHLETIC AND ACADEMIC AWARDS

QUESTIONS/COMMENTS

ENTER STATISTICS OR ANY ADDITIONAL INFORMATION YOU WOULD LIKE THE COACHING STAFF TO KNOW.

NAIA ELEGIBILITY CENTER - PLAYNAIA.ORG
THE NAIA ELIGIBILITY CENTER IS RESPONSIBLE FOR DETERMINING THE NAIA ELIGIBILITY OF FIRST-TIME STUDENT-ATHLETES. ANY STUDENT PLAYING NAIA SPORTS FOR THE FIRST TIME MUST MEET THE ELIGIBILITY REQUIREMENTS. STUDENTS MUST HAVE THEIR ELIGIBILITY DETERMINED BY THE NAIA ELIGIBILITY CENTER, AND ALL NAIA SCHOOLS ARE BOUND BY THE CENTERS DECISIONS.

WHO NEEDS TO REGISTER?
EVERY STUDENT INTERESTED IN PLAYING SPORTS AT NAIA COLLEGES FOR THE FIRST TIME IN 2011-12 OR ANY YEAR AFTER THAT NEEDS TO REGISTER AND HAVE A DETERMINATION IF THEY ARE ELIGIBLE TO PLAY.

IF YOU HAVE ALREADY REGISTERED AT PLAYNAIA.ORG, PLEASE PROVIDE US WITH YOUR NAIA ID. YOU CAN FIND YOUR NAIA ID BY LOGGING INTO PLAYNAIA.ORG AND LOOKING IN THE RED BOX IN THE UPPER RIGHT HAND CORNER. YOUR NAIA ID SHOULD BE 7 NUMBERS LONG.

YOUR NAIA ID

* required field