Last Name: First Name: Middle Initial: Address (street): City: State:
Zip Code: Home Phone: E-Mail Address: Social Security Number: Shirt Size:
Shoe Size: Slack Size:
NCAA Clearinghouse registered?: Father's Name:
Work phone#: Mother's Name:
Work phone#: Age: Date of Birth:
Date of Graduation: Height:Weight: Cumulative GPA:Rank
in class SAT Scores: ACT Scores: Planned Course of Study: High School: Junior College: HS Coach:Phone#: JC Coach:Phone#: How interested are you in attending WNMU: very or somewhat?: How much money are you/your family prepared to spend per year on your college education?: Strengths: