Interested Softball Prospect Form

Email Secondary Email

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Are you currently enrolled at UCNJ? Or, do you plan to enroll at UCNJ in the near future? *

(Currently enrolled = registered for class)

Currently Enrolled Planning to be a New Student

First Name: *

Last Name: *

Phone Number: *

Email address *

Gender: *

Female Male

Position(s)? *

How many years of experience do you have playing this sport? *

High School: *

High School Graduation Date? *

(Month/Year)

City: *

(Where you currently reside)

State: *

Zip Code: *

Have you attended another college/university? If yes, where?

* required field