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Prospective Student Athlete Form

Personal Information

All athletes should be prepared to send a video tape.

First Name:
Last Name:
Date of Birth:
Telephone:
Email:
Address:
City:
State:
Zip Code:
Social Security Number
Father/Guardian:
Occupation:
Mother/Guardian:
Occupation
Religious Background:

Academic Information

High School
Enrollment
Address
City
State
Zip Code
Telephone
Guidance Counselor
SAT/ACT:
Verbal
Math
ACT Comm.
--------------------
Class Rank
GPA
Graduation Date
Academic Interests
Career Goal

Athletic Information

Please fill out the information to the sports that pertain to your interests.

Sport(s) in which you wish to participate at Nyack College?
(use control key for multiple selections)

Sport(s) played
High School Coach
Telephone
Years Lettered
Club/AAU Team
Club/AAU Coach
Telephone
Height
Weight
Video Tapes Available?
Are you registered with the NCAA Clearinghouse?

Basketball

Position(s) Played
Pts/gm
Rebs/gm
Assts/gm
Steals/gm

Soccer

Position(s) Played
Games played/Season
Goals/Season
Assts/Season

Baseball/Softball

Throws
Bats
Batting Avg.
HRs
ERA
W/L Record

Volleyball

Position(s) Played
Kills/game

Track/Cross Country

Track events
Times, Heights, or Distances
Cross Country Times
Distances

Golf

Average Score/18 Holes (Par 72)
Handicap

Cheerleading

Position:	Base Flyer Spotter/Lifter
	(Check all that apply)

Other pertinent information?

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