STUNT Interest Form

Contact
Katherine Melka
STUNT Coach
kmelka@whitworth.edu

Add sport tab to student record

Add extracurricular interest to student record

* denotes a required field

About You

Legal first name *

Preferred first name (what should we call you?) *

Middle name

Last name *

Birthdate *

Gender:*

Female

Male

Add another gender

My gender:

STUNT is a female-only sport.

How Can We Reach You?

Student's Primary Email Address *

Parent's Email Address

Home phone

Mobile phone

Do we have permission to send you text messages?

Yes

No

Mailing address *

Country

Street

City

Region

Postal Code

Country of Citizenship *

Academic Info

Type of student *

High school graduation year *

When do you plan to start attending Whitworth? *

I am home schooled

Your most recently attended institution: *

School 1 CEEB

Please list any colleges you have attended (beginning with the most recent)

Hold down the CTRL or Command key to select multiple options from any of the lists below.

What are your primary academic interests? *

Your Tumbling and or Gymnastics Experience

Please fill out any of the information below that applies to you.

What experience do you have? Hold down the CTRL or Command key to select multiple options from any of the lists below.

High School Cheer or Gymnastics Coach Name

High School Coach Email

High School Coach Phone Number

All Star or Club Team Name

All Star or Club Coach Name

All Star or Club Coach Email

All Star or Club Coach Phone Number

Years Acquainted with All Star or Club Coach

Other Program Name/Type

Other Contact Name

Other Contact Email

Other Contact Phone Number

Other schools that have contacted you:

Preferred Position (select all that apply)

Flyer

Base

Back

Unsure

Please list any honors or awards you have received, or leadership positions you have held both in and out of cheer/dance/gymnastics.

If you would like to submit web links containing video of your athletic performance, include the links below.

Other Information

Are you interested in being recruited for the Whitworth Cheer Team?

Yes, please pass my information to the cheer coach!

No, not at this time.

Other information you would like us to know:

Art Education
Art History
Art, Three Dimensional
Art, Two Dimensional
Front-End Design Development
Graphic Design
Biology
Neuroscience
Accounting
Management
Economics
Finance
Marketing
Biochemistry
Chemistry
Physical Chemistry
Communication
Communication & Culture (minor)
Journalism and Media Studies
Speech Communication
Strategic Communication
Bioinformatics
Communication & Technology (minor)
Computer Science
Computer Science: Interdisciplinary
Computer Science: UI/UX
Education: Elementary
Education: Secondary
Education: Special Education
Education: Early Childhood (minor)
Multi-Lingual Learner (minor)
Reading Instruction (minor)
Applied Physics
Biophysics
Engineering
Engineering: Dual Degree
Physics
Editing and Publishing (minor)
English
Creative Writing (minor)
English/Language Arts
Writing Studies (minor)
Environmental Science
Environmental Studies
Health Science
Health Science: Health & Wellbeing
Health Science: Exercise Science
Health Science: Rehabilitation Science
Pre-Nursing
American Studies
History
Public History (minor)
Individually Designed Major
Film and Visual Narrative (minor)
Leadership Studies (minor)
Medieval and Early Modern Studies (minor)
U.S. Cultural Studies (minor)
Visual Communication (minor)
Women's & Gender Studies (minor)
Athletic Coaching (minor)
Kinesiology
Mathematics
Mathematics (Applied): Data Science
Mathematics (Applied): General
Mathematics (Applied): Mathematical Economics
Mathematics (Applied): Mathematical Finance
Instrumental Performance
Jazz Performance
Music
Music Composition
Music Education
Music Production and Songwriting
String Pedagogy
Voice Performance
Ethics (minor)
Philosophy
International Studies
Law and Justice (minor)
Peace Studies
Political Science
Pre-Law
Pre-Chiropractic
Pre-Dentistry
Pre-Medical Technology
Pre-Medicine
Pre-Pharmacy
Pre-Physical Therapy
Pre-Physician Assistant
Pre-Veterinary
Psychology
Criminology and Criminal Justice
Social Analysis
Social Work and Human Services
Sociology
Dance (minor)
Theatre
Theology
Theology: Biblical Languages
Undeclared
French
Latin American Studies (minor)
Spanish