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case western reserve university

VARSITY ATHLETICS

 
 

Prospective Student-Athlete Information Request Form

Name (First, Last, Middle Initial):

Gender

Mailing Address:

City:

State:

Zip Code:

E-Mail Address (write "do not have" if you have none):

Home Telephone Number:

High School (include state and city if different from mailing address):

Graduation Year:

Sport(s) of Interest (indicate second or third sport if interested):

Sport No. 1: 

Sport No. 2: 

Sport No. 3: 

High School Coach(es) (if listing more than one coach, indicate sport as well):

High School Phone Number:

Height (optional):

Weight (optional):

Position (if applicable):

Athletic Honors and Awards:

Areas of Academic Interest:
1) 
2) 
3) 

Grade-Point Average:

Cumulative SAT Score:

Cumulative ACT Score:

Additional Comments or Questions: