College Prospects of America (Australasia)

Contact Form

If you require further details please contact us via the form below:

To receive a free, no obligation assessment of your chances of receiving a sports scholarship to University in America please complete the following form with as much detail as possible. Thank you. If you have difficulty submitting this form please copy into an email and forward to director@cpoa.com.au

Personal Details:

Name

Address

Town/City

State

Postcode

Tel.

Email

Date of Birth

Level of Education:

Grade 10    Grade 11     Grade 12  University 

State BSSS Certificate Title/Other National Academic Qualification
(subjects and results or date of exams)

Graduation Grade OP / TER Score Expected or achieved
(subjects and results or date of exams)

University, TAFE, 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 State or National ranking. In addition, please give details of any individual or teams honours to aid our assessment.

 



Should you receive an error message when submitting this form simply arrow back on your Internet Browser screen and submit a second time. It should work then. If not please copy form contents into an email and send to director@cpoa.com.au

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