Recruiting Form

Sport *

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

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Date of Birth *

Email *

Phone *

ACADEMIC INFORMATION

Freshman/Transfer

Freshman Junior College

Two Years
Four Years

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School Name *

City *

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State *

Zip *

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Graduation Date *

GPA *

SAT/ACT Score *

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Are you registered with the NCAA Clearing House? *

Yes
No

Clearinghouse ID *

FAMILY INFORMATION

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Father's Name *

Occupation *

Attended College? *

Yes
No

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Mother's Name *

Occupation *

Attended College?

Yes
No

Parents are: *

Married
Divorced
Seperated

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Number of brother's and sisters? *

Religous Affiliation (optional) *

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GENERAL INFORMATION

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Have you completed a Dixie State application? *

Yes
No

Other Sports you compete in? *

Personal bests/Honors in other Sports *

ATHLETIC INFORMATION

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Height *

Weight *

Position *

Coach's Name *

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Home Phone *

Work Phone *

Summer Team *

Coach's Name *

Year's as a Starter *

Freshman
Sophomore
Junior
Senior

ADDITIONAL INFORMATION

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Individual Athletic Honors

Link to video highlights

Link to recruiting website

ACADEMIC INFORMATION

Freshman/Transfer

FAMILY INFORMATION

GENERAL INFORMATION

ATHLETIC INFORMATION

ADDITIONAL INFORMATION

Men’s Sports

Women’s Sports