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Email address *
First name *
Last name *
Address 1 *
Address 2
City *
State *
ZIP Code *
Cell Phone Number
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Birth Date *
Age
Most Recent Academic Information
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School Address
Graduation Year
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Sport(s) of Interest (Check all that apply)
Baseball
Men's Basketball
Men's Soccer
Golf
Women's Basketball
Women's Volleyball
Please describe your previous playing experience in this sport.
Have you been in contact with the head coach?
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I plan on attending Penn State York in the:
Fall
Spring
Please enter the first year you plan on attending Penn State York:
Have you contacted our admissions office yet?
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