Athletic Scholarship Application Form
Athletic Scholarship is valid for one semester only
Faculty:
Department:
Academic Semester:
A - Personal Information:
B - Medical Assessment
Medical History - Assess your health status by marking all true statements
C - References (Please mention two persons)
If there are any other specific information that will describe your situation more accurately, please explain in the space below and submit supporting documents.
I, the undersigned applicant, do hereby certify that the information provided for the purpose of Athletic Scholarship is true and complete. I allow the investigation of all the above-mentioned information, as I know that any false or omitted information may lead to the cancellation of my application.
I agree to abide by all the rules of the Office of Athletics, Wellness and Recreation. Recognizing the possibility of physical injury associated with sports activities, I hereby release, discharge and/or otherwise indemnify UOB, its trustees, officers, agents, and employees against any losses, expenses, claims, demands and legal actions of every kind and character resulting from my use of the UOB premises or facilities.
I hereby give my consent to UOB to take photographs, video recordings, and/or sound recordings of myself in documenting the activities of UOB and also give permission to use the negatives, prints, motion pictures, video/audio recordings, or any other reproduction of the same for educational and promotional purposes in manuals, on flyers, on the world wide web, or in other publications.