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Women's Soccer Interest Form
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Head Coach
Cameron Bushey
509.777.4206
cbushey@whitworth.edu
Add sport tab to student record
Baseball
Basketball (Men's)
Basketball (Women's)
Cheerleading
Cross Country (Men's)
Cross Country (Women's)
Football
Golf (Men's)
Golf (Women's)
Lacrosse
Soccer (Men's)
Soccer (Women's)
Softball
Swimming (Men's)
Swimming (Women's)
Tennis (Men's)
Tennis (Women's)
Track and Field (Men's)
Track and Field (Women's)
Volleyball
Add extracurricular interest to student record
African Culture Club
Air Force ROTC
Alto (voice)
Army ROTC
Artists' Cooperative
Asian Alliance Club
Association for Computing Machinery
Athletic Training Club
Baritone (voice)
Baseball
Basketball
Bass (voice)
Bass Clarinet
Bassoon
Bible Study
Black Student Union
Business Club
Camaraderie of the Armed Forces
Campus Ministry
Catholic Fellowship
Cello
Cheerleading
Chemistry and Other Sciences
Chess Club
Choir
Clarinet
Climbing Club
Community Service
Cross Country
Dance
Debate/Forensics
Developer Student Club
Drums
Electric Bass
En Christo (Homeless Ministry)
Ethics Bowl
Euphonium/Baritone
Filipino-American Student Association
Flute
Football
French Horn
Gaming Club
Generation Action
Golf
Guitar
Harp
Hawaiian Club
History Club
HOLA (Heritage of Latino Americans)
Improv Troupe (Cool Whip)
International Club
Intramural Sports
Investment Group
Jazz Band
Jubilation Dance Ministry
Lacrosse
Mezzo (voice)
Music Composition
Newspaper (The Whitworthian)
Oboe
Orchestra
Organ
Outdoor Recreation
Pep Band
Percussion
Physics and Engineering Collective
Piano
Piccolo
Pirate PRIDE
Pre-Med Club
Psi Chi (Psychology Honor Society)
Radio Station (Whitworth FM )
Residence Hall Leadership
Restoring Hope (Mental Health Advocacy)
Roundnet Club
Saxophone
Soccer
Softball
Soprano (voice)
String Bass
Student Government
Student Investment Group
Students for Life
Study Abroad
Swimming
Swing and Ballroom Dance Club
Teachers of Tomorrow
Tennis
Tenor (voice)
Theatre
Theatre Technology Club
Timpani
Track & Field
Transfer Student Organization
Trombone
Trumpet
Tuba
Ultimate Frisbee Club
Viola
Violin
Vocal Jazz Ensemble
Volleyball
Westminster Round Literary Club
Wind Ensemble
Women in Finance
Women's Soccer Club
Yearbook (Natsihi)
Young Americans for Freedom
Young Life
* denotes a
required
field
About You
Legal first name *
Preferred first name (what should we call you?) *
Middle name
Last name *
Birthdate *
Birthdate *
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
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21
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25
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29
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31
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
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1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
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1958
1957
1956
1955
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1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Gender:
Gender:
Female
Male
Add another gender
My gender:
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?
Do we have permission to send you text messages?
Yes
No
Mailing address *
Mailing address *
Country
Street
City
Region
Postal Code
Country of Citizenship *
Afghanistan
Aland Islands
Albania
Algeria
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Ashmore and Cartier Islands
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Bangladesh
Barbados
Bassas Da India
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius, and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos Islands (Keeling Islands)
Colombia
Comoros
Congo (Brazzaville)
Congo (Kinshasa)
Cook Islands
Coral Sea Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Europa Island
Falkland Islands (Islas Malvinas)
Faroe Islands
Federated States of Micronesia
Fiji
Finland
Foreign/Unknown
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia, The
Gaza Strip
Georgia
Germany
Ghana
Gibraltar
Glorioso Islands
Greece
Greenland
Grenada
Guadeloupe
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong S.A.R.
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Jan Mayen
Japan
Jersey
Jordan
Juan De Nova Island
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau S.A.R.
Macedonia, Republic of North
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Man, Isle of
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Norway
Oman
Pakistan
Palau, the Pacific Islands of
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Spratly Islands
Sri Lanka
Sudan
Suriname
Svalbard
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tromelin Island
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Academic Info
Type of student *
Freshman (Current high school student)
Transfer (Attended another institution after high school graduation)
High school graduation year *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
When do you plan to start attending Whitworth? *
Spring 2024
Fall 2024
Spring 2025
Fall 2025
Fall 2026
Fall 2027
Fall 2028
Fall 2029
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? *
Art & Design
Art Education
Art History
Art, Three Dimensional
Art, Two Dimensional
Community Arts (minor)
Front-End Design Development
Graphic Design
Pre-Athletic Training: Health Science
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
Human Computer Interaction
Information Technology (minor)
Education: Elementary
Education: Secondary
Education: Special Education
Education: Early Childhood (minor)
English Language Learners (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
Community Health
Health Science
American Studies
History
Public History (minor)
Individually Designed Major
Development Studies (minor)
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 Production and Songwriting
Music Composition
Music Education
Music Ministry
Piano Pedagogy
Piano Performance
String Pedagogy
Voice Performance
Pre-Nursing
Ethics (minor)
Philosophy
International Studies
Law and Justice (minor)
Peace Studies
Political Science
Pre-Law
Pre-Chiropractic
Pre-Dentistry
Pre-Medical Technology
Pre-Occupational Therapy: Health Science
Pre-Medicine
Pre-Pharmacy
Pre-Physical Therapy: Health Sciences
Pre-Physician Assistant
Pre-Veterinary
Psychology
Criminology and Criminal Justice
Global Sociology
Social Analysis
Social Work and Human Services
Sociology
Dance (minor)
Theatre
Theology
Theology: Biblical Languages
Undeclared
Asian Studies (minor)
Chinese (minor)
French
German (minor)
Latin American Studies (minor)
Spanish
Other varsity/intercollegiate activities you plan to participate in at Whitworth?
Baseball
Basketball
Cheerleading
Cross Country
Football
Golf
Lacrosse
Soccer
Softball
Swimming
Tennis
Track & Field
Volleyball
SAT/ACT Score
High School GPA *
College GPA
Received Associate of Arts or Associate of Science degree?
Received Associate of Arts or Associate of Science degree?
Yes
No
Athletic Information
Please fill out any of the information below that apply to you.
High School Coach Name
High School Coach Email
High School Coach Phone Number
High School Jersey Number
Club's Name
Club Coach's Name
Club Coach's Email
Club Coach's Phone Number
Club Jersey Number
Positions played most often in the last four years:
Positions played most often in the last four years:
Back/Defense
Midfield
Forward
Goalkeeper
Field Location
Field Location
Left
Right
Center
If you would like to submit web links containing video of your athletic performance, include the links below.
Other Information
List any friends or family who have attended Whitworth, and your relationship to them.
Other information you would like us to know:
Interest Level
Interest Level
High
Medium
Low
Submit