Recruiting Form Sport Baseball Basketball Cross Country Football Golf Rowing Ice Hockey Lacrosse Soccer Swimming and Diving Tennis Name last Address * Address * State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hamp New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code Date of Brith Email Phone Number ACADEMIC INFORMATION Freshman/Transfer.................................................................................................................................................................... Freshman Junior College Two Years Four Years School Name City State Zip code Graduation Date GPA SAT/ACT Score * Are you registered with the NCAA Clearing House? * Yes No Clearinghouse ID * FAMILY INFORMATION.................................................................................................................................................................... Father's Name * Occupation * Attended College? Yes No Mother's Name * Occupation * Attended College? Yes No Parents are: Married Divorced Seperated Number of brother's and sisters? * Religous Affiliation (optional) * Annual Household Income (optional) $0K-$45K $46K-$75K $76K-$125K $126K and over Have you applied for FAFSA (Federal Financial Aid) @ FAFSA.ed.gov? * Yes No GENERAL INFORMATION.................................................................................................................................................................... Have you completed a Dixie State application? * Yes No Other Sports you compete in? Personal bests/Honors in other Sports ATHLETIC INFORMATION.................................................................................................................................................................... Height * Weight Position Coach's Name Home Phone Work Phone * Summer Team Coach's Name Year's as a Starter Freshman Sophomore Junior Senior ADDITIONAL INFORMATION.................................................................................................................................................................... Individual Athletic Honors Link to video highlights Link to recruiting website Submit Now
