Kuyper College

Name:

^{_{* First}}

_Middle

_{* Last}

Nickname:

* Address:

* City:

* State:

* Zip:

* Phone:

Cell Phone:

* Email:

Birthdate:

Height:

* High School(s) Attended
or currently attending:

Address(es):

* Cumulative GPA:

Class Rank:

SAT Math Score:

SAT Verbal Score:

ACT Score:

* Graduation Date:

Father's Name:

Father's Occupation:

Mother's Name:

Mother's Occupation:

Guardian's Name:

Guardian's Occupation:

Community Service(s):

* What sport or sports are you interested
in playing at Kuyper College?

* What sports have you previously played?
What level? High School or College?

Positions Played:

Years Lettered:

Senior
Junior
Sophomore
Freshman

Athletic Honors:

* Varsity Coaches Name and Phone Number:

* Are you a transfer student?

If yes, from what college?

Address:

Why did you transfer?

How did you hear of Kuyper College?

* Required Fields