Please enter your graduation year of high school:

OR enter your graduation year of junior college:

Name:

Committed:

Sex:

Street Address:

Suburb:

City:

State:

Postcode:

Country:

Home Phone:

Cell Phone:

Email Address:

Instant Message:

Date of Birth:

Do you have any family or friends that work or live in the US?

Please list Brothers and Sisters Names and Ages:

Parent's Information

Mother's Name:

Mother's Email:

Mother's Occupation:

Mother's Employer:

Mother's Work #:

Mother's Cell #:

Father's Name:

Father's Email:

Father's Occupation:

Father's Employer:

Father's Work #:

Father's Cell #:

Academic Information

Community College Name:

High School Address:

Suburb:

City:

State:

Post Code:

School Phone #:

School Email:

SAT Score:

Major interest to study at College:

Club Information

Coach's Full Name:

Coach's Office #:

Coach's Home #:

Coach's Email:

Other Sports Interest:

100 METERS:

200 METERS:

400 METERS:

800 METERS:

1,500 METERS:

1,600 METERS:

3,000 METERS:

3,200 METERS:

5,000 METERS:

100 METER HURDLE (30 INCHES):

100 METER HURDLE (33 INCHES):

300 METER HURDLE:

HIGH JUMP:

POLE VAULT:

LONG JUMP:

TRIPLE JUMP:

List some of your most outstanding sporting achievements including representation with your Club, State and or Nation (eg. Australian Representation):

Upload a Picture:
Pictures will be shown at 100px by 100px. Please make sure they look good at that size. Only JPG files are accepted.

Consent Form

By ticking this checkbox you are giving Aussie Sports America permission to pass your personal sporting profile on to High School and Colleges in the U.S.A. Many top Colleges, Junior Colleges and High Schools around the U.S.A. will be able to access our database containing your particulars. This will enable a better matching process between your needs and theirs, facilitated of course by our expert guidance and advice.