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SUNY Colleget at Old Westbury Panthers Athletic Inquiry Form

Please complete the following information

First Name:

  M I:

  

Last Name:

Home Address:

City:

State:

Zip:

Country: 

 E-Mail: 

Home Phone:

   Fax Number: 

Date of Birth:

  Age:

 Height:

 Weight:

Social Security # (optional):

High School/College/Club:

Year of Graduation: 

 

Sport:

Head Coach Name:

Office Phone:

   Home Phone:

Grade Point Average:

    

College Board Exam Scores

 SAT I: Verbal 

 Math:

 

 ACT: Composite

 TOEFL:

Have you applied to Old Westbury University?          Yes       No

Have you applied to the NCAA Clearinghouse?    Yes        No

Intended major:

 

Please indicate any information relative to your athletic performance (i.e., scoring average, batting average, club team, handicap, etc.)

 

Honors and/awards:

If possible, please forward  these   items to the address and head coach listed below:

<!--[if !supportLists]-->·                    <!--[endif]-->Letter of recommendation from your coach

<!--[if !supportLists]-->·                    <!--[endif]-->Video of athletic performance 

<!--[if !supportLists]-->·                    <!--[endif]-->Any other information you feel is important to evaluate your athletic performance

 

 

WOMEN'S SPORTS

          COACH

MEN'S SPORTS

          COACH

BasketballMichael KrasnoffBaseball

John Lonardo

Cross Country

Jeff Labiento

BasketballBernard Tomlin
SoftballMary Jo FazioCross Country

Jeff Labiento

SwimmingSigitas RudokasSoccer

Jason Warshaw

Volleyball

Marjahna Segers-Vickers

SwimmingSigitas Rudokas
 
SUNY College at Old Westbury University
Route
107 (One Mile North of LIE, Exit 41N)
SUNY College at Old Westbury,
New York  11568-0210