Prospective Student-Athlete Form

First Name	Social Security Number
Last Name	Phone (must include area code)	(no dashes)
Home Address
City	Date of Birth (MM/DD/YEAR)
State
Zip
Email Address
Height	Weight
Intended Major
High School/Junior College	Graduation Date (MM/DD/YEAR)
Grade Point Average	Class Rank
SAT Score	ACT Score
High School/ Junior College Coach
	Coach's Phone Number
Club Name	Club Coach
Coach's Phone Number
Other Colleges that you are interested in:
Name of Father	Name of Mother
My Parents are:	I live with:
Siblings:
What is your athletic dream goal?
What is your academic dream goal?