Volleyball
Prospective Student-Athlete Information Form
NOTE:This form is not an official college application. This form will be used
by the volleyball 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/ju/sr) 

*Address 

*City  , *State  *Zip  *Phone 

Guidance Counselor 

Athletic Background
Events *Stengths and weaknesses Team Accompishments
Other Sports *Position Vars. Letter
*Coach's Name / Tel # Honors  
 
Interest Level
Please select the level that represents your present interest in Bethany.
List the top five Colleges you would prefer to visit in order of preference:
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 10, 2007