Name:
First    Last    SS#  
Address:
Street
City   State   Zip
Phone   Email:
Father's Name: Occupation:
Mother's Name: Occupation:
Brothers & Sisters (ages) 
High School:  
Address: 		Phone:
Year of High School Graduation: 
High School Coach:  Phone:
Principal: Counselor: Phone:
Position Played:  Years Participation: 
Uniform #: Vertical Jump:
Ht:
 
Wt:
 		 Statistics:
 
Other Sports Participated in:
Honors and Awards:
Do you have a definite area of study that you are going to pursue in college?  Yes  No
If yes, please indicate
Have you taken the ACT test? Yes  No  If yes, please list your scores. 
English   Math   Science Reasoning   Reading
Composite
If no, when are you planning to take it?
Do you have a strong background in math? Yes No ; science? Yes No
What is your approximate GPA?    Class Rank? /
Have you filed financial aid forms (FFS, FAF)?  Yes  No
Would you like more information concerning South Dakota Tech Academics and Volleyball?
Yes  No
Do you know anyone who is attending or has attended SDSM&T? Yes  No
Additional information: