Gender |
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Role
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Title |
(Mr. Mrs. Ms.)
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First Name
(Given
Name) |
(As it appears on your passport.) |
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Last Name
(Family Name) |
(As it appears on your passport.) |
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Badge Name |
(Name to be printed on your badge, 20 Characters maximum.) |
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E-mail |
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Confirm your
E-mail |
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Street Address |
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City |
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State or Province |
Postal Code
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Country of Residence |
(Part of your postal address - where you are living now.) |
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Home Telephone # |
Alternative
Phone #
(Please include all international and regional codes) |
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Mobile Telephone # |
Fax #
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Country Issuing Passport |
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Passport Number |
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Passport
Expiration Date |
month
day
year
Make sure your Passort is NOT expired. |
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Birthdate |
month
day
year
Athletes must be born before: July 1st 1992 and after: July 1st 1983 |
Language |
If you can speak English fluently, select English.
Otherwise
select
your preferred primary language. |
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Other
Languages |
Enter other languages you are fluent in. |
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Food Requirement |
Clothing
Size
click here for size chart |
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Weight (in kg) |
or enter
pounds:
if you do not know your weight in kilograms.
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Height (in cm) |
or enter
inches:
if you do not know your weight in centimeters. |
Faith / Religion |
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Religious Leader Reference
Enter
the name and contact information for someone who can attest
to your character and religious affiliation. |
Name:
Title:
Organization:
Contact Phone:
Contact E-mail: |
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Emergency Contact and Medical Information |
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Select
the sport you wish to apply to: |
Select a Sport |
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Team ID (do not list the team accomplishments here) |
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If you do not have a Team ID, enter your team name or other identifying information.
All
events are Team events, except Track and Field. |
Racquet |
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These events will be played as a separate tournament from the teams competition. |
Track and Field |
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*To compete in relay events you must apply with a team of four people. (Team ID is required)
You may only apply for a MAXIMUM of THREE (3) Track and Field events. This limit does not apply to the relay events, you may compete in the relay events in addition to any 3 other events. |
Accomplishments |
|
Enter your top accomplishments in your sport
including the level of competition, the
governing
body and your score or rank. |
Individual Sport
Performance
Reference |
Enter
the name and contact information for an official or organization
who can attest to your individual sports acomplishments. (not
required for team accomplishments). |
Name:
Title:
Organization:
Contact Phone:
Contact E-mail: |
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If you have been invited by Recuiter,
Please enter the his or her name here:
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Optional Programs |
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Check here if you are interested in observing would like to observe the International Marriage Blessing ceremony. |
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Check
here if you are interested in observing the Mister and Miss University International Beauty Pagent. |
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Check
here if you are interested in joining the international volunteer
service project. |