Name

Email

Address

City
State
Zipcode

Birthday

Father's Name

Phone
Occupation

Mother's Name

Phone
Occupation

Best Time to Call

Brothers and Sisters (names and ages)

High School
Yr. Grad.

High School Coach's Name
Phone

SAT-CR
SAT-W
SAT-M

ACT Score *
* - Saint Mary's requires the writing portion of the SAT or ACT in order to be considered for admission

HS GPA

Position
Years Played

Height
Weight

Statistics:

High School Coaches Name:

Phone:

Position:
Years Played:
Jersey Number:

PPG: RBG: Assists: Steals:

Are video tapes available ?

Would you like to visit the campus?

Area of academic interest:

Have you applied to the Admissions Office?

Will you be applying for Financial Aid?

Team Honors/Individual Honors/HS Honors (Include Academic Honors)

Other Schools You are Interested In :

Comments/Questions/Other Information (Please list significant injuries):