Southwestern University Football Prospective Student-Athlete Form

Contact Information:

First Name:
Middle Name:
Last Name:
Preferred Name:
Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Email Address:

Academic Information:

High School:
City:
State:
Graduation Year:
Grade Point Average:	on a scale
Class Rank:	out of
ACT:
SAT:
Math:
Critical Reading:
Writing:
Academic Honors:
Southwestern Enrollment Year:
Student Classification:
First Academic Interest:
Second Academic Interest:
Applied to Southwestern?

College Interest Information

At this point in your college search, your top three college choices are:

College 1:
School:
City:
State:

College 2:
School:
City:
State:

College 3:
School:
City:
State:

Legacy Information

Are you related to a Southwestern Alum? If so, please check all that apply:

Sibling
Parent or Step-Parent
Grand-Parent or Great Grand-Parent

Name (optional):

Athletic Information

Height:
Weight:
Do you have film? If so paste link in box provided:
HUDL
YouTube
Other (please list):
Position(s):
Preferred Position(s):
Relevant Stats:
Athletic Awards and Honors:
Coach's Name:
Coach's Contact Number:
Coach's Email Address: