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Prospect Student Athlete Information
First Name: *
*Required
Last Name: *
*Required
Middle Name:
Preferred Name:
Date of Birth: *
*You must enter the date in the format: mm/dd/yyyy
*Required
Age:
Address: *
*Required
City: *
*Required
State:
AL
AK
AR
AS
AZ
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AB
AE
BC
DC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
UN
YT
PR
VI
Zip:
Home Phone: *
*Required
Cell Phone:
E-mail: *
*Required
*Invalid email address
SSU Alumni you know personally:
Parent/Guardian Contact Information
First Name: *
*Required
First Name: *
*Required
Last Name: *
*Required
Last Name: *
*Required
Cell Phone:
Cell Phone:
Work Phone:
Work Phone:
Email:
*Invalid email address
Email:
*Invalid email address
Brothers and Sisters (Names and Ages):
Parent/Guardian Contact Information
First Name: *
*Required
Relationship: *
Father
Mother
Alternate
Step Mother
Neighbor
Uncle
Sister
Grandfather
Guardian
Aunt
Friend
Step Father
Brother
Grandmother
Coach
Other
Spouse
Parent
Girlfriend
Boyfriend
Child
Guidance Counselor
Wife
Cousin
Husband
Club Director
Step Sister
Step Brother
Athletic Director
*Required
Last Name: *
*Required
Home Phone:
Relationship: *
Father
Mother
Alternate
Step Mother
Neighbor
Uncle
Sister
Grandfather
Guardian
Aunt
Friend
Step Father
Brother
Grandmother
Coach
Other
Spouse
Parent
Girlfriend
Boyfriend
Child
Guidance Counselor
Wife
Cousin
Husband
Club Director
Step Sister
Step Brother
Athletic Director
*Required
Phone: *
*Required
College Name:
Mobile Phone:
Occupation:
Email:
*Invalid email address
Employer:
College Name:
Phone: *
*Required
Ext:
Occupation:
Employer:
Work Phone:
Ext:
NCAA Academic Information
High School/Previous College Name:
Graduation Date: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
*Required
School Address :
District: *
*Required
School City:
School State:
AL
AK
AR
AS
AZ
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AB
AE
BC
DC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
UN
YT
PR
VI
School Zip:
Coach's Name:
Guidance Counselor's Name:
Email:
*Invalid email address
Home Phone:
Home Phone:
Office Phone:
Office Phone:
Cell Phone:
Cell Phone:
GPA: *
*Required
*Invalid GPA
ACT:
SAT:
Date To Be Test (If not already taken):
*You must enter the date in the format: mm/dd/yyyy
NCAA Eligibility Center ID #:
If Junior College player, were you a qualifier?:
YES
NO
Additional Previous Colleges:
SSU Potential Majors
College of Business Administration:
Accounting (BBA)
Business Management (BBA)
Business Management/Online (BBA)
Marketing (BBA)
Computer Information Systems (BBA)
Global Logistics and International Busin
Master of Business Administration
College of Education:
Bachelor of Interdisciplinary Studies
Education in Biology Education (BSED)
Education in Mathematics (BSED)
Engineering Technology Education (BSED)
Education in Middle Grades Education (BS
College of Liberal Arts and Social Sciences:
Associate of Arts, Core Curriculum
Bachelor of Arts in Africana Studies
English Language and Literature (BA)
Bachelor of Arts in History (BA)
Homeland Security & Emergency Management
Bachelor of Arts in Mass Communication
Visual and Performing Arts (BFA)
Bachelor of Science in Criminal Justice
Bachelor of Science in Political Science
Bachelor of Science in Sociology (BS)
Bachelor of Science in Behavior Analysis
Bachelor of Social Work (BSW)
Master of Public Administration (MPA)
Urban Studies and Planning (MSUSP)
College of Sciences and Technology:
Associate of Science, Core Curriculum
Bachelor of Science in Biology
Bachelor of Science in Chemistry
Civil Engineering Technology (BS)
Computer Science Technology (BS)
Electronics Engineering Technology (BS)
Bachelor of Science in Forensic Science
Bachelor of Science in Marine Sciences
Environmental Science (BS)
Bachelor of Science in Mathematics
Mechanical Engineering (BS)
Master of Science in Marine Sciences
Master of Science in Mathematics
SSU Potential Minors
College of Business Administration:
Accounting
Business
Computer Information Systems
Entrepreneurship
Management
Marketing
Global Logistics International Business
College of Liberal Arts and Social Sciences:
Africana Studies
Behavior Analysis
Criminal Justice
Gerontology
History
Homeland Security Emergency Management
Mass Communication
Political Science
College of Sciences and Technology:
Applied Mathematics
Biology
Chemistry
Civil Engineering Technology
Computer Science Technology
Electronics Engineering Technology
Environmental Science
Forensic Science
General Technology
Marine Sciences
Mathematics
Athletic Information
Height: *
ft.
in.
*Required
Weight: *
*Required
Uniform No.:
Bats:
Throws:
R
L
Positions:
Other Varsity Letters Earned(sports):
Summer Coach Name:
Summer Team :
Summer Coach E-mail:
*Invalid email address
Summer Coach Phone: