Men's Soccer
Prospective Student-Athlete Information Form

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

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/jr/sr) 

*Address 

*City  , *State  *Zip  *Phone 

Guidance Counselor 

Athletic Background
Events Involved in ODP? Sport Goals *Coach's Name/ Tel #
Other Sports *Position 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  


Bethany College
335 E. Swensson Street
Lindsborg, Kansas 67456-1897

Telephone: 1-785-227-3311 or 3380 x 8113
Admissions Fax: 1-785-227-8993
Admissions Telephone: 1-800-826-2281

 Copyright © 2006 Bethany College
Last Modified: January 9, 2007