WILLIAMS FOOTBALL PROSPECTIVE ATHLETE

Personal Information

Last Name

First Name

MI

Nickname

Street Address

City

State/Prov.

ZIP/Postal Code	Country	Home Phone	Cell Phone
Email Address

Father's Name	Occupation	College Attended
Mother's Name	Occupation	College Attended
How Many Children in Your Family?	In College?	Applying for Financial Aid? Yes No

Parents' Marital Status (relative to each other):
Never Married Married Widowed Separated Divorced

Optional: The Following items are optional. No information you provide will be used in a discriminatory manner.

First Language, if other than English

Primary language spoken at home, if other than English

If you wish to be identified with a particular ethnic group, please check all that apply:
African-American, African, Black Asian American Asian, Including Indian Subcontinent
Hispanic, Latino Native Hawaiian, Pacific Islander White or Caucasian
Other (specify)

Academic Information

High School

Street Address

Phone

City

State/Prov.

ZIP/Postal Code

Country

Year of HS Graduation

Class Rank

# of Students in Class

G.P.A.

Scale

SAT: critical reading | math | writing

ACT:

SAT II:
1. subject:
2. subject:

Intended college major

Academic Honors

Extracurricular Interests

Other Colleges Looking At

Guidance Counselor

Phone

Athletic Information

HS Coach

Sch./Bus. Phone

Home Phone

Coach's E-Mail Address Coach's Alma Mater

HS Position(s)

40 Time

Height

Weight

Jersey Number Preferred Position

Other Sports Played in HS

Other Intended Sports In College

Most Influential People In Your Life

Top Priorities in Choosing a College

Are You Familar With Williams? Yes No

Level of Interest? Very High Moderate Unsure