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Athletics Administration
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Prospective Student-Athlete Questionnaire
Personal Information
Today's Date: Day: Year:

 Please select one:

  
First Name:
Last Name:
MI:
Previous Name :

Street:

 City:

  

  Zip:

  

 Home Telephone:

 Email Address:

  
State:
Social Security Number:
Date of Birth :   Day: Year:
Gender: Male Female
Parent/Legal Guardian: Parents Legal Guardian
Parent/Guardian Name:
(If less than 21 years old when applying)
Mailing Address:

 

Athletic Information

Height:

Position:

Event (i.e. 100 meter dash, Shot-put):

 

Scholastic Information

High School

Address

State:

  

 Zip:

  

 Counselor

 Term to start st CSU

  

 Year to start at CSU

  

 Office Phone

  

 College Academic Interests

  
Graduation Date  

 Test Score:

  GPA ACT SAT
  High School Rank Class Size

 Coach:

  

 Office phone:

Home Phone:

 

Sport(s) Interested in:

Women's Basketball Women's Golf
Women's Track/Field X-Country Women's Volleyball
 Men's Basketball Men's Track/Field X-Country 
Men's Golf Men's Football