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Prospect Student Athlete Information
First Name: *
Last Name: *
Middle Name:
Preferred Name:
Date of Birth: *
Age:
Gender:
M
F
Address: *
City:
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: *
Cell Phone:
Email: *
SSU Alumni you know personally:
SSU ID #: *
Guardian Contact Information
First Name: *
Last Name: *
Cell Phone:
Work Phone:
Email:
Siblings (Names and Ages):
Parent/Guardian Contact Information
First Name: *
Last Name: *
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
Phone: *
Cell Phone:
Email:
Summer Team:
Occupation:
Employer:
Work Phone:
Ext:
NCAA Academic Information
High School/Previous College:
Graduation Date: *
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
School Address 1:
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:
Your Coach:
Select your head coach
My coach isn't in this list, I'll provide the information below
Coach's Name:
Guidance Counselor's Name:
E-mail:
Guidance Counselor's E-mail:
Work Phone:
Guidance Counselor's Work Phone:
Cell Phone:
Guidance Counselor's Cell Phone:
GPA: *
If Junior College player were you a qualifier?:
YES
NO
SAT:
NCAA Eligibility Center ID #: *
Date To Be Tested (If not already taken):
Additional Previous College :
ACT:
SSU Potential Major
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 Minor
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.
Weight: *
Uniform No.:
Events:
Other Varsity Letter Earned (Sports):
Summer Coach Name:
Summer Coach Phone:
Shoe Size: *
Summer Coach E-mail:
Sweat Suit Size: *
Tee Shirt Size: *
Tights Size: *
Events Best Times/Distances
100h/110h:
:
:
PV:
300h:
:
:
Discus:
400h:
:
:
Shot:
100m:
:
:
Hammer:
200m:
:
:
Javelin:
400m:
:
:
Triple J:
800m:
:
:
High J:
1600m:
:
:
Long J:
3200m:
:
:
Dec.:
Cross Country Event:
3 mile
5K
Hep.:
Name of Meet:
Cross Country Event Time:
:
:
Place at State Meet: