Southwestern University

Prospective Student-Athlete Form

Contact Information:

Name: Email: Home Phone: Cell Phone:
Address: City: State: Zip:

Academic Information:

High School: City: State: 
Graduation Year: 
Grade Point Average: on a scale
Class Rank:   out of ACT: 

SAT: Math: Critical Reading: Writing:
Academic Honors: Intended Major: Applied to SU? 
 

Athletic Information:

Coach's Name: Coach's Number:    
Please list all relevant athletic information:
       


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