If you are interested in playing a varsity NCAA Division III/NCCAA DII sport at North Central University, please fill out the form below. By filling out this form we have your information and can connect you with the NCU Athletics Recruitor and the coach for the sport you are interested in playing.

*This form is not an official university application.

Bold = required

Basic Information
First Name  
Last Name
Nickname/Preferred Name
Male/Female M   F
Date of Birth (mm/dd/yyyy)
Street Address
City, State, Zip
Email Address
Primary Phone ((xxx) xxx-xxxx)

 Type:  Home  Cell
Secondary Phone ((xxx) xxx-xxxx)

 Type:  Home  Cell

Academic Information  
Name of High School
High School City, State
High School GPA
High School Graduation Year
Nonsport activities in high school
(include church involvement, FCA,
music/theater, NHS, etc.)

Last College Attended (or N/A)
Are you currently enrolled at
this college? 
Yes  No
Are you currently playing a
sport at this college? 
Yes No
College academic/major interest(s)
Have you applied to North
Central University before?
Yes No  
If so, when? Approx. date: 
Have you received admissions
materials from NCU? 
Yes No
Would you like to have an
admissions counselor contact you? 
Yes No
Athletic Information  
High school sports participated in
High school statistics/awards
(include personal best times, Varsity
letters, all-conference selections, etc.) 

Club/AAU Team
Club/AAU Coach Name
Club/AAU Coach Phone ((xxx) xxx-xxxx)
Recruiting website or link(s) to video
Primary sport interested in at NCU
Other sport interested in at NCU
Do you know of other potential
student-athletes from your school or
youth group we should contact about
NCU Athletics? (Please provide name
and phone number or email address.) 

Click below to view before final submission: