Name:

Address:

City: State: Zip:

Phone:

Date of Birth: (mo/day/yr)

Social Security #:

Age: Height: Weight:

E-Mail Address:

Father's Name:
Occupation:

Mother's Name:
Occupation:

High School:
HS Coach's Name:
HS Coach Phone:
HS Graduation Date:
ACT Score: SAT Score: GPA:

Junior College:
JC Coach's Name:
JC Coach Phone:
JC Graduation Date:

Prospective Majors:

Academic Awards:

Sport:

Position:

Athletic Honors & Awards:

Athletic Attributes (such as 40 speed, bench press, squat, and vertical leap. Be sport appropriate):

A short explanation of why you want to be a T-Bird and why you would be competitive at SUU.