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2009-10 Cheerleading Application
Last Name:
First Name:
Birthdate
(xx/xx/xxxx):
Gender
(M or F):
Email Address:
Alternate Email Address:
Home Phone:
Cell Phone:
Street Address:
City:
State:
Zip Code:
Parent(s) Name(s):
Parent(s) Email:
Parent(s) Phone:
High School:
High School Graduation Year:
High School GPA:
List other College(s)/Universities(s) you have attended:
Current IU Northwest Student ID #
(enter NA if you do not yet have one):
IU Northwest Email Address
(enter NA if you do not yet have one):
Year in School
(starting Fall 09)
:
Intended Major:
Projected Graduation Date:
College/High School Cheerleading Experience
List any College, High School or Professional/Community Cheerleading Experience:
Cheerleading Awards/Teaching Experience/Workshops/Camps
List any cheerleading awards, honors, teaching or coaching experience or workshops/camps attended:
Volunteer Experience
Please list any volunteer experience:
Employment
Are you employed?
Select One
Yes
No
If employed, Name of Employer:
If employed, how many hours a week do you work?
Club and Organization Memberships/Participation
List any other clubs/organization/activities you are involved or have been involved in high school or college:
Honors and Awards
List any scholastic or community honors or awards you have received:
Miscellaneous
Why do you want to be a member of the Indiana University Northwest Cheerleading Squad?
If chosen, what are your goals?
Special Skills: Tumbling, Stunting and Dance
What special qualities or skills do you possess that would make you an asset to the squad?
List any tumbling skills you can perform consistently without a spot:
List stunting and any dance experience: