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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?
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: