Northern State University Athletics

PERSONAL DATA

NAME_______________________________HEIGHT____________WEIGHT__________AGE_________SS#___________________________

HOME ADDRESS______________________________________________________________PHONE NUMBER________________________

NAME OF PARENTS________________________________________________________________

HIGH SCHOOL__________________________________________GRADUATION YEAR___________________

PLEASE CHECK YOUR SPORT OF INTEREST:

MEN'S ATHLETICS:

_________FOOTBALL

WOMEN'S ATHLETICS:_______VOLLEYBALL

_________BASKETBALL

_______

BASKETBALL

_________WRESTLING

_______

SOCCER

_________BASEBALL

_______

SOFTBALL

_________CROSS COUNTRY

_______

CROSS COUNTRY

_________TRACK

_______

TRACK

_________GOLF

_______

GOLF

ACADEMIC DATA

ACT/SAT SCORE__________________HIGH SCHOOL GPA___________________CLASS RANK___________________

ACADEMIC INTEREST AREA___________________________________________________________________________

HAVE YOU APPLIED FOR FINANCIAL ASSISTANCE?______________________________________________________

ATHLETIC DATA

LIST POSITION, EVENT, OR WEIGHT CLASS______________________________________________________________________

LIST ANY ATHLETIC AWARDS RECEIVED_________________________________________________________________________

NAMES OF YOUR CURRENT COACHES__________________________________________________________________________

PLEASE RETURN BY MAIL TO:  NSU ATHLETICS, NORTHERN STATE UNIVERSITY, 1200 SOUTH JAY STREET, ABERDEEN, SD  57401

PHONE:  (605) 626-2488/FAX:  (605) 626-2238

**ALSO VISIT www.northern.edu FOR UP TO DATE NORTHERN STATE UNIVERSITY ATHLETIC INFORMATION