Information Request Form - First Year Students

Date: Enrollment Term:
Please send me a Athletics DVD
Personal Information
Gender: Male Female
First Name:
Middle Initial:
Last Name:
Address:
City:
State:
Zip(Postal) Code:
Country:
Phone Number:
Email Address: *
Academic Information
High School:
Graduation Year:
H.S. GPA:
Class Rank: out of
ACT/SAT I Score:
Academic Interest(s):

Please List the High School Activities that you Participated in:

Band
Choir
Debate
Dramatics
National Honor Society		 Newspaper
Writers' Group
Yearbook
Speech
Student Government		 Cheerleading
Baseball
Basketball
Cross Country
Football		 Golf
Gymnastics
Soccer
Softball
Swimming		 Tennis
Track
Volleyball
Wrestling
Others
   
Please list any Academic or Extracurricular Recognition, Honors or Awards you have Received.
   

Please List the College Activities you would like to Participate in:

Band
Choir
Debate
Dramatics
National Honor Society		 Newspaper
Writers' Group
Yearbook
Speech
Student Government		 Cheerleading
Baseball
Basketball
Cross Country
Football		 Golf
Gymnastics
Soccer
Softball
Swimming		 Tennis
Track
Volleyball
Wrestling
Others