STILLMAN ON-LINE STUDENT ATHLETE
RECRUITING FORM

Please fill out as completely as possible or your information will be less likely to be considered.

What sport are you interested in?

Personal Information
     
Last Name , First Name M.I.
 
Date of Birth (mm/dd/yyyy)
 

Mailing Address
   
House Number & Street
Apt.#
City
County
State
Zip Code
Telephone Number () -
Email Address
   

Education
     
High School  
City  State  
GPA  ACT SAT
Graduation Date (mm/yyyy)  
Have you yet enrolled with the NCAA Clearinghouse?          yes      no When will you/ did you enroll?
 		 
     
Junior College  
City  State  
Dates Attended Hours  Earned GPA
     
Four-Year School  
City  State  
Dates Attended Hours  Earned GPA
     

Profile
     
Height  Weight (men only)  Best Position

High School Stats, Honors & Awards
 		  
High School Coach    
Phone Number () -  
     

JUCO and Four-Year School Stats, Honors & Awards
 		  
JUCO Coach    
Phone Number () -  
     

Additional Information
   

Summer & AAU Achievements (etc):
 		  
Extent of your interest in Stillman    
Anything Else Our Coaches Should Know About You:  
Any Relatives Attend Stillman?
(Include name, years and sport played if any):