Kutztown University Athletics - Prospective Athlete Form

Prospective Athlete Form

This form is not an official university application.

Personal Information
Name *
Address
City
State
Zip / Postal
Country
Telephone
Cell Phone
Email
Date of Birth
Parents' Names
Academic Information
High School Name
College Name (if applicable)
High School Address
High School Phone
High School Graduation Year
Intended Major
High School Grade-Point Average
College Grade-Point Average (if applicable)
Class Rank (x of x)
SAT Score (verbal and math)
ACT Score
Do you plan to take either test again?	YesNo
If yes, which one and when?
Have you ever applied here?	YesNo
Do you intend to apply for financial aid?	YesNo
Academic Honors
Other colleges you are interested in
Athletic Information
Primary sport you are interested in
Other sports
Height
Weight
Current Team (if different from high school)
Letters Won in this sport
Coach's Name
Coach's Phone
Position/Event
Career Statistics(include personal best times):
All-Conference honors in career (first team as a junior, etc.):
Other Athletic Honors in Career (all-state, all-area, etc.):
Other Honors
Team Highlights in career:

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KUTZTOWN UNIVERSITY

Prospective Athlete Form