Hampshire College Student Athlete Questionnaire

Contact information

Email Address

First Name

Middle Name

Last Name

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Home Phone Number

Cell Phone Number

Text Message Opt-In

Yes, I would like to receive text messages from Hampshire College.

Academic information

High School Name

School Address

Country

Street

City

Region

Postal Code

Graduation Year

Intended Entry Term

I am inquiring as a prospective

First Year

Transfer

Academic Interest 1

Academic Interest 2

Academic Interest 3

Community Service Performed (optional)

Athletic information

Sport 1*

Position(s) played, if applicable

Do you plan to continue playing this sport in college?*

Additional Comments: (optional)

Sport 2

Position(s) played, if applicable

Do you plan to continue playing this sport in college?

Additional Comments: (optional)

Sport 3

Position(s) played, if applicable

Do you plan to continue playing this sport in college?

Additional Comments: (optional)

Please certify that you are a high school junior or senior, or are a current college student:

Yes, it is AFTER September 1 of my junior year of high school.

No, it is BEFORE September 1 of my junior year of high school.