Prospective Student-Athlete Interest Form

The Albany College of Pharmacy and Health Sciences Panthers compete in the United States Collegiate Athletic Association (USCAA) in Men’s and Women’s Soccer, Cross Country, Basketball, and Track and Field; and Women's Volleyball. Students enrolled in any academic program may participate in Varsity athletics. ACPHS also offers several club and intramural sport options. Complete the interest form below for more information about becoming an ACPHS student-athlete.

First Name

Last Name

Email Address

Mailing Address

Country

Street

City

Region

Postal Code

Birthdate

Primary Phone

Home

Cell

Parent Cell

Cell Phone Number

Can we text you?

Yes

No

Home Number

Parent Cell Phone Number

I am currently a...

High School Student

College Student

College Graduate

What school are you currently attending?

School Code

What program(s) are you interested in?

Expected Entry Term

Position/Event

Current Coach’s Name

Current Coach’s Phone

What level are you currently playing at?

JV/Varsity

Club

Other

N/A

Career Statistics (include any personal bests)

Team Highlights in Career

Are you interested in visiting campus?

Yes