student athlete information form revised

							                                    Student-Athlete
                                Information Data Form
First Name: _________________________Last Name: ______________________Grad. Year: ________

GPA: ___________ SAT: _____________ ACT: ________________ PSAT: _____________________

Primary Position: ______________________ Secondary: ____________________ Jersey #:__________

Height: _________________________ Weight: __________________ Age: __________________

Phone: ____________________________________ Email: ____________________________________

Address: _____________________________________________________________________________

City: _______________________ State: ______________________________ Zip: ________________

Mothers Name: ____________________________ Fathers Name: _______________________________

Parents Phone: ________________________________ Email: __________________________________

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School Name: _________________________________________________________________________

School Address: _______________________________________________________________________

City: _________________________ State/Zip Code: ____________________ Tel#: _______________

Coach Name: ______________________________________ Coach # (W) _______________________

(Cell)_____________________________________ (Home) ____________________________________

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Transcript Y/N: ________ Scholarship Offered: Y/N ___ Which School: _______________________

Top 6 Colleges:

(1) _________________________________________ (2) _____________________________________

(3) _________________________________________ (4) _____________________________________

(5) _________________________________________ (6) _____________________________________

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Coaches/Analyst Comments:

_____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

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Projected Level: Division 1A: ____ Division 1AA: ____ Davison 2: ____ Division 3: ____ NAIA ____
                 JUCO: ____

(Check One Box)