WILLIAMS WOMEN'S GOLF PROSPECTIVE ATHLETE



                                                                   Personal Information
Last Name
 First Name
 MI
 Preferred Name

Street Address
City
State/Prov.

ZIP/Postal Code
Country
Home Phone
Cell Phone

Email Address
Day/Time to Call

SS# or DOB
Year of Graduation
First Parent or Guardian's Name
 Occupation
 College Attended
Second Parent or Guardian'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 Widowed Separated Divorced Married

Family/Friends who attend/attended Williams






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

Personal Instructor
 Phone Number

Personal Instructor's E-Mail Address


USGA Handicap and/or Average/Usual Scores
Other Sports Played in High School
Other Intended Sports In College

Golf Honors, Significant Wins, Other Golf Notables
Are You Familar With Williams?  Yes No

Level of Interest?  Very High Moderate Unsure

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