College Prospects of America CPOA UK Sports Scholarship Placement Service

CPOA Student Assessment Form

To receive a free, no obligation assessment of your chances of receiving a sports scholarship to University in America please complete the following form.

Personal Details:
Name
Address
Town/City
County
Postcode
Tel.
Email
Date of Birth
Parents Name

Level of Education:

Pre GCSE (please click in the cell if applicable)

GCSE/Scottish Standard Grades/Other National Academic Qualification
(subjects and results or date of exams)

A/S, A2's, BTEC, Students from other countries should detail their qualifications and results

Post A level (University, HND, Work experience

Sport:

What is your sport?

Year of proposed University Entrance

Please click on the following categories to indicate the level at which you compete.

National

Regional

County

Club

School

If you are an athlete or swimmer, please give details of your events and personal best times. If you are a golfer, indicate your handicap and if you are a tennis player, your LTA rating/ranking. If you are a team sport player, indicate your height, weight, position and statistics where available. In addition, please give details of any individual or teams honours to aid our assessment.

Also could you indicate where you heard about CPOA

Surfing the web
Advert/press release		Which Publication?
Link from another website		Which Site?
Reccommendation
Other		Please give details