REQUEST FOR INFORMATION
PERSONAL INFORMATION                                                                 * Required fields
* First Name:
* Last Name:
* Address:
* City:	* State: * Zip:
* Are you:	Male Female
* Home Phone:	- -
Cell Phone:	- -
Email Address:
* I will be a:	Freshman Transfer Student * Other
	* If selecting 'Transfer Student' you must complete the 'Transfer Students Only' section below.
* Date of Birth:	January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913
* Sport(s) you are interested in: (Must select at least one.)
	INTERCOLLEGIATE   Men's Baseball Men's Basketball Men's Cross Country Women's Basketball Women's Cross Country Women's Softball Women's Volleyball
ATHLETIC INFORMATION
* Sports Played:
* Height / Weight:	Feet Inches        Pounds
Position Preferred:
Athletic Accomplishments: (Don't be afraid to brag.)
Statistical Info: (P.P.G., Assists, Rebounds, Batting Avg., E.R.A., Kills, Digs, etc.)
Team & Individual statistics available? Yes No
* Video available?	Yes No
High School Coach:
Coach's Email:
Coach's Phone:	- -
ACADEMIC INFORMATION
* High School:
* Graduation Year:	2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927
* High School GPA:	(ex. 2.7, 3.725)
ACT / SAT Score:	(ex. 800, 1200)
* Registered with the NCAA Clearinghouse?  Yes No      Need Info?
Academic Honors Earned:
Probable Academic area of interest:   ('Undecided' if you don't know. *Selective Admissions programs.)
	Apprenticeship/Skilled Trades Architecture Art Automotive Business Administration Civil Technology Clinical Laboratory Technology* Computer Aided Design Computer Numerical Control Computer Service Technology Computers Construction Culinary/Hospitality Drafting Early Childhood Studies Economics Education/Teaching Electronic Technology EMT/Fire Engineering English Foreign Language Geography Health Information Technology Heating/Ventilation/Air Conditioning History Humanities Law Enforcement Legal Assistant Maintenance Manufacturing Manufacturing Engineering Math Media & Communication Arts Music Nuclear Medicine Technology* Nursing* Occupational Therapy Assistant* Other Arts & Sciences Other Career & Technical Education Philosophy Physical Therapist Assistant* Political Science Pre-Medicine Psychology Quality Systems Technology Respiratory Therapy* Science Sociology Speech/Communication Surgical Technology* Surveying Theater Tool Fixture & Die Design Undecided Vehicle Design Veterinary Technician*
Other Comments:
* TRANSFER STUDENTS ONLY
* Previous College(s) Attended:
* Number of full time semesters/terms previously attended (12+ credits):