WRIGHT STATE OFFICIAL ATHLETIC SITE

Prospective Athletes

Personal Information

First Name:

Middle Name:

Last Name:

Phone:

Phone Country Code:
if outside US/Canada

Address:

City:

State/Province:
US or Canada only

Zip:

Country:
if outside US/Canada

Father's Name:

Occupation:

Telephone:

Alma Mater:

Mother's Name:

Occupation:

Telephone:

Alma Mater:

Parent or Guardian's Address:

Siblings in College:

Gender Male
Female

Birthdate:

Age:

Height:

Weight:

Social Security Number:

E-mail Address:

Academic Information

High School:

Graduation Year:

Address:

City:

State:

Zip:

Phone:

Guidance Counselor:

Guidance Counselor Phone:

GPA: on a scale

Class Rank: out of

ACT:

English:

Math:

Reading:

Science:

SAT Score:

SAT Verbal:

SAT Math:

PSAT:

PACT:

Have you applied for admission to WSU?
Yes
No

Have you applied for financial assistance? Yes
No

Are you registered with the NCAA Clearinghouse Initial Eligibility? Yes
No

Academic Honors:

Desired Major:

Athletic Information

Coach:

Coach Home Phone:

Coach's Alma Mater:

Track & Field

Event:
Mark:
Meet:
Date:

Event:
Mark:
Meet:
Date:

Event:
Mark:
Meet:
Date:

Event:
Mark:
Meet:
Date:

Cross Country

Distance:
Time:
Meet:
Date:

Distance:
Time:
Meet:
Date:

Distance:
Time:
Meet:
Date:

Road Races

Distance:
Time:
Meet:
Date:

Distance:
Time:
Meet:
Date:

Hobbies/Interests/Other Sports