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Graceland University Athletics - Information Request
Denotes Required Fields

  Personal Information
First Name: Middle Initial: Last Name:
Birth Date: (mm/dd/yyyy): Height: Weight:
Gender: Male Female
Father's Name: Father's Occupation:
Mother's Name: Mother's Occupation:

  Contact Information
E-mail: Phone: Cell Phone:
Address: City: State/Province:
  Zip/Postal: Country:

  School Information
High School Name:
Address: City: State/Province:
  Zip/Postal: Country:
School Size (population): Year of Graduation: SAT/ACT Score: H.S. GPA:
(high school students only)
Current College: If applicable
Collge GPA: Anticipated Major:
 
High School Coach:
HS Coach Day Phone: HS Evening Coach:
 
College Coach:
Coach Day Phone: Coach Evening Phone:
Pertinent H.S./College Statistics:
          
Honors (Athletic and Academic):
          
Please list schools you are considering (in order of preference):
          
Activities and Organizations:
          

  Sport Interest
Select the sport(s) you are interested in.

Baseball
Basketball (Men's)
Basketball (Women's)
Cross Country (Men's)		 Cross Country (Women's)
Football
Golf (Men's)
Golf (Women's)		 Soccer (Men's)
Soccer (Women's)
Softball
Tennis (Men's)		 Tennis (Women's)
Track (Men's)
Track (Women's)
Volleyball (Men's)
Volleyball (Women's)


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