Baseball Questionnaire - Bethany College

Personal Information

*Last Name *First Name Middle I.
*Home Phone # *E-mail Address
Country
*Street Address
*City , *State *Zip
*Date of Birth (mo/day/yr) *Date of Grad (mo/yr)
*Height (ft/in) *Weight (lbs)
Ethnic Background (optional)

Non-Athletic Activities
Student Body Officer Editor, School Publication *Field of Study
Class President National Honor Society Other

Academic Information
*Class Rank out of *G.P.A.

Test Scores: SAT:Date (mo/day/yr) Verbal Math
ACT:Date (mo/day/yr) Composite

*High School Name *Year in School (fr/so/ju/sr)
Address
*City , *State *Zip Phone
Guidance Counselor

Athletic Background

Team Record	*Strengths and Weaknesses

Team Accomplishments	*Coach's Name / Tel #

Position	Vars. Letter

Honors	Other Sports

Interest Level
Please select the level that represents your present interest in Bethany.
*Other Colleges of Interest
Do you intend to apply for financial assistance to attend college (optional).
Yes No