Cycling Request for Information

FLC Cycling!

We are stoked that you are interested in learning more about our Cycling Team at FLC. Students please complete the short response form below so that we can learn more about you and customize future communication to your personal goals and interests. We look forward to connecting with you!

* Denotes a required field

I am a prospective...

First-year

Transfer

Are you an international student?

Yes

No

Desired start term

First Name

Middle Name

Last Name

Birthdate

Email Address

Mobile Phone

Mailing Address

Country

Street

City

Region

Postal Code

Academic History

Current or most recent high school (start typing to select school)

Hidden: School CEEB Code

High school graduation year

Current or most recent college (start typing to select school)

Hidden: School CEEB Code

Educational Information

Primary academic interest

Secondary academic interest

Cycling Information

Select Primary Cycling Interest

Select Secondary Cycling Interest

Select Third Cycling Interest

Are you interested in joining the men's or women's Cycling Team?

Men's Cycling Team

Women's Cycling Team

What category do you race in NICCA, Interscholastic and/or USA Cycling?

Please provide USA Cycling Number in the box below if applicable.

Parent Information

Parent/Guardian Type

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email

Parent/Guardian Phone

We want to get to know you better! In the space below, tell us more about yourself, how you got into cycling, and what you want out of cycling!

Add links below for your Cycling results for USA Cycling, Interscholastic Cycling League, or Roots & Rain if applicable.

Anything else you would like to let us know? Comments? Questions?

By submitting this form, I agree to phone calls and/or text messages from or on behalf of Fort Lewis College at the phone number provided on this form, including my cell phone number. I understand that these calls may be generated using automated technology. I further understand that I can opt-out of these communications by emailing UNSUBSCRIBE to admission@fortlewis.edu.