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NCAA Division III
Intercollegiate Athletics Interest Form

We are pleased that you are interested in Birmingham-Southern College. If you have an interest in competing in NCAA Division III intercollegiate athletics, please complete and submit this form as soon as possible.

Personal Information:    
Last Name: First Name:
Street Address:
City: State: ZIP:
Home Phone: E-Mail:
Sex: M F Height:
Weight: Dominant Hand: L R
High School: Graduation Year:
What other colleges are you considering?
 

SAT:      
Verbal:       Math:       Composite:
       
ACT:      
Composite: Class Rank:

For Transfer Students:    
What is your current college/university?

Athletics Information    
Sport No. 1: Years Lettered:
Position/Events:
High School Coach and Phone Number
Awards, Honors, or Statistics/Event Times (pertinent to an evaluation of your performance):
 

Sport No. 2: Years Lettered:
Position/Events:
High School Coach and Phone Number
Awards, Honors, or Statistics/Event Times (pertinent to an evaluation of your performance):
 
 
 

Contact us at:

Admission Office
205/226-4696
toll-free 800-523-5793, ext. 4696
fax 205/226-3074
www.bsc.edu/admission

Intercollegiate Athletics Office
205/226-4935
toll-free: 800-523-5793, ext. 4935
fax 205/226-3049
www.bscsports.net

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Birmingham-Southern College

900 Arkadelphia Road
Birmingham, AL 35254
800.523.5793

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