| First Name |
|
| Last Name |
|
| Street |
|
| City |
|
| State |
|
| Zip Code |
|
| Home Phone |
|
| Cell Phone |
|
| Email * |
|
| Date of Birth |
|
| Religious Affiliation |
|
| Father's Name |
|
| Father's Occupation |
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| Father's Employer |
|
| Father's Work Phone |
|
| Father's College Attended |
|
| Mother's Name |
|
| Mother's Occupation |
|
| Mother's Employer |
|
| Mother's Work Phone |
|
| Mother's College Attended |
|
| Family Members or Friends who attend(ed) Simpson College |
|
| High School |
|
| Graduation Date |
|
| GPA |
|
| Class Rank |
|
| of |
|
| ACT |
|
| SAT |
|
| If a transfer student, please list all colleges attended and dates |
|
| Counselor's Name |
|
| Academic Interests |
|
| Academic Honors |
|
| Sports cheered for and number of years |
|
| What sports at Simpson are you interested on cheering for |
|
| Cheer camps/clinics you have attended |
|
| Recognition received at camp/clinic |
|
| Athletic Honors/Awards received for cheer |
|
| Head Coach |
|
| Coach's Phone |
|
| Coach's Email |
|
|
