Prospective athlete form

202 South Halsted Street • Chicago Heights IL 60411
Phone: 708/709-3836 • Fax: 708/709-7770
e-mail: eschaffer@prairiestate.edu

Prospective Athlete Form

Personal Information (starred fields are required)

Name:*

Street:*

City: *

State:*

Zip Code: *

Phone: *

E-mail:*

Education

High School:

GPA

Graduation Date:

Personal Statistics

Height:

Weight: (optional)

Sport of Interest

Baseball
(M) Basketball
(W) Basketball
(M) Cross Country
(W) Cross Country
(M) Golf
(M) Soccer
(W) Soccer
(M) Tennis
Softball
(W) Volleyball

Additional Information

Statistics, Honors, Awards, etc.:

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