UpstateSpartans.com

PERSONAL INFORMATION
Name:
Gender:
Date of Birth (mm/dd/yyyy):
Email:
Home Address:
City:
State:
Country:
Zip:
Home Phone:
Cell Phone:
Parent(s) or Legal Guardian(s):

ACADEMIC INFORMATION
School Year:
Graduation Date:
Current School:
Address:
City/State/Province/Zip:
School Phone:
GPA:
SAT Score:
ACT Score:
Have you registered with the NCAA Clearinghouse?
Colleges you are interested in:
1. 2. 3. 4.

ATHLETIC INFORMATION
High School Coach:
Home Phone:
Cell Phone:
Address:
City/State/Province/Zip:
Club Coach:
Club Name:
Home Phone:
Cell Phone:
Address:
City/State/Province/Zip:
Other Sports:
Serious Injuries:

PERSONAL INFORMATION