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PERSONAL INFORMATION

Name (required):

Address (required):

City (required):    State (required):   

Zip (required):

Home Phone (with area code):    Cell Phone (optional):

E-mail (required):

Date of Birth (mm/dd/yyyy):

Height:    Weight:    Right/Left Handed:

Parent/Guardian Name(s):



ACADEMIC INFORMATION

High School Name:

Graduation Date (mm/dd/yyyy):    Class Size/Rank:   

GPA:

SAT Score (math):      SAT Score (verbal):       ACT Score:

TOEFL Score (international students):

Anticipated Major at Montevallo:

Previous College Attended:

Previous Major:    GPA:

Eligibility Remaining (after current year):



ATHLETIC INFORMATION

Sport(s) Interested in at Montevallo:

Sport(s) Played at Previous College:

Position(s) Played:

Collegiate Stats:

Sport(s) Played in High School:

Position(s) Played:

High School Coach (all sports played):

Coach's Phone:    Coach's E-mail:

Stats (Senior Year):

Stats (Junior Year):

Stats (Sophomore Year):

Stats (Freshman Year):

Honors/Awards:

Club Team(s):

Position(s) Played:

Club Team Coach:

Club Coach's Phone:   Club Coach's E-mail:

Club Team Stats:

Additional Comments: