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Cheerleading Request Form

Cougar Ruler

Thank you for your interest in SIUE. Please fill out the form and click on the submit button at the bottom.

Enter Today's Date (Use format shown at right)

(Date is validated after leaving the field.)

ddmmyy (171201) or
ddmmyyyy (17122001) or
ddXmmXyy (17-12-01 or 17y12q01 ... ) or
ddXmmXyyyy (17.12.2001 or 17,12,2001 ...)
where "X" is any sign not in 0..9, i.e. "-" or "/"

Name
First     M.I.     Last     Suffix (Jr., Sr., etc.)

Social Security Number

(Optional- providing this number will ensure
that we don't duplicate your record
in our database.)		 Date of Birth
Mo.  Date  Year
Gender E-mail Height
Address
City State ZIP Code Country Telephone
Mother's Name Father's Name
Name of High School or Junior College
School Address
City State ZIP Code
Term in which you intend to enter SIUE
Fall Semester   Spring Semester Summer Session    Year:

Do you plan to live on campus?      Yes      No      Undecided
If yes, click Housing Application   Single    Family 
 
Athletic Accomplishments

  
Transfer Information (how to transfer from another college)
 
Information about the following area of study:
(To choose up to 2 areas of study, hold down the Ctrl key while clicking)

Questions or comments? Send us an e-mail or call our Admission Counselors at 1-800-447-SIUE or (618) 650-3705.
Have you registered with the NCAA Clearinghouse?     Yes      No     Don't Know
Please double-check your entries to make sure they are correct.

URL: www.siue.edu/ATHLETIC/CHEER/form.html
Published by: SIUE Sports Information
Last update: January 31, 2000 by ehess@siue.edu