National Consortium for Academics and Sports

Online Membership Request Form

All information submitted through our Web Site is confidential and goes directly to the National Consortium for Academics and Sports.

NOTE: Membership and contributions are tax deductible

Please fill out and submit the following information.

New Member Update Our Contact Info

Contact Information
Contact Person
Title
School
Address
City, State ZIP
Telephone
Fax
E-mail

Tell us about your institution:
Director of Athletics
Mailing Address (if different from above)
City, State Zip
Telephone
Fax
E-mail
Web Site Address

President
Mailing Address
City, State ZIP
Telephone
Fax
E-mail

What sports programs are offered:

To Women? (click all that apply)

Basketball
Crew
Cross Country
Fencing
Field Hockey
Golf
Gymnastics
Ice Hockey
Lacrosse
Soccer
Softball
Swimming/Diving
Tennis
Track & Field
Volleyball
Water Polo
Other(s)

To Men? (click all that apply)

Baseball
Basketball
Crew
Cross Country
Fencing
Field Hockey
Football
Golf
Gymnastics
Ice Hockey
Lacrosse
Soccer
Swimming/Diving
Tennis
Track & Field
Volleyball
Water Polo
Wrestling
Other(s)

Are you interested in NCAS workshops at your location?

Yes No

Please tell us your interests: (click all that apply)

Outreach & Comm. Service
Teamwork Leadership Institute
National STUDENT-Athlete Day
Annual Conference
Hope for Stanley

Degree Completion Program
MVP Program
Alcohol Response-Ability
Banquet/Hall of Fame
Scholar Baller

Additional comments: