Online Bethany College Football
Prospective Student-Athlete Information Form

NOTE:This form is not an official college application. This form will be used by the Football staff to help determine prospective student-athletes. Items marked with an astrisk* are required.

 


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) 

Preference of College Participation (Indicate 1st Choice)
Trainer Baseball Basketball Football Golf Soccer Tennis Track/CC

Preference of College Participation (Indicate 2nd Choice)
Trainer Baseball Basketball Football Golf Soccer Tennis Track/CC
Non-Athletic Activities
Student Body Officer
Editor, School Publication
Class President National Honor Society
*Field of Study 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   
Achievement 
Scores: 		    

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

Athletic Background
*Major Position Played
(Offense/Defense)		 40 Speed
Jersey # *Coach's Name / Tel #
Other Sports If transfer,
list colleges attended
Vars. Letter Honors

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

Please Send current school transcripts to the address listed below.

  
Bethany College
335 East Swensson Street
Lindsborg, Kansas 67456-1897
Telephone: 1-785-227-3311 or 3380 Fax: 1-785-227-2004
Admissions Telephone: 1-800-826-2281

Copyright © 2006 Bethany College
Last modified: 1/9/07