Siena Heights Dance Recruit Questionnaire

Email Secondary Email

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Thank you for your interest in the Siena Heights cheer and dance program. Please take a moment to fill out this form with as much information as possible. If you have any questions or would like to schedule a visit, please contact head coach Liz Teague at (517) 264-7819 or ecundiff@sienaheights.edu.

Email address (required)

Name (required)

Street Address

City, State, Zip

Cell Phone

Home Phone (if different)

Birthdate

Height

Weight

What technical elements can you execute? (required)

Pirouette Fouette a la seconde Leaps None of the above

What skills can you execute? (required)

Aerial Headspring Kip Up None of the above

What dance styles do you experience in? (required)

Jazz Hip Hop Pom Ballet Contemporary None of the above

Parents' Names

Level of Education

High School

High School GPA (required)

ACT/SAT Score

Expected Graduation Date

High School Coach

High School Coach Phone

High School Coach E-mail

Intended major at Siena Heights

SHU Alumni You Know

SHU Students You Know

Other Schools You Are Interested In

Any Additional Activities Interested In or Comments