Personal Information

YOUR INFORMATION
Name:
Home Address:
City:
State:
Zip:
Birth Date:
Phone:
Cell Phone:
Email:

FAMILY INFORMATION
Parent(s)/Guardian:
Occupation:
Siblings:

ACADEMIC INFORMATION
High School:
Year of Graduation:
Class Rank:
Overall GPA:
SAT/ACT:
Honors:
Career Goal:
Course of Study:

Are you registered with the NCAA Clearinghouse?   Yes No

ATHLETIC INFORMATION
Sport(s) you are interested in playing:
INTERCOLLEGIATE Men's Basketball
Women's Basketball
Men's Cross Country
Women's Cross Country
Women's Softball
Women's Volleyball
Men's Half Marathon
Women's Half Marathon
Women's Tennis
Men's Golf
CLUB SPORTS Men's Indoor/Outdoor Track
Women's Indoor/Outdoor Track
Men's Soccer
Co-Ed Bowling

Athletic Accomplishments:

Statistical Information: (P.P.G., Assists, Rebounds, Batting Avg, E.R.A, Kills, Digs, etc.)

High School Coach:
Coach's Email:
Coach's Phone #:
TRANSFER STUDENTS ONLY

Previous Colleges Attended:

Number of full time semester/terms previously attended: (12+ credits)

TOP 3 FACTORS IN DECIDING ON A COLLEGE

Factor 1:
Factor 2:
Factor 3:

COMMENTS/SUGGESTIONS: