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Student-Athlete Interest Form

Personal Information  
Full Name*

Address

City
State  
Zip Code  
Home Phone  
Cell Phone*  
Email Address*  
Age*  
Date of Birth*  
   
Academic Information  
Intended Major*  
High School Attended  
High School Graduation (Mo./Yr.)  
SAT Total Score*  
SAT Math Score*  
SAT Critical Reading Score*  
SAT Writing Score*  
Class Rank  of  
GPA*  
Are you transferring from another college?*  
If yes, where are you transfering from and dates attended?  
   
Athletic Information  
Sport(s) Interested In*  
Position(s)  
Height  
Weight  
Teams which you currently play on
 
Coach(es) Names and Phone Numbers
 
Athletic Awards/Honors
   
   

*Required Fields