Personal Information

First Name:
Last Name:
Address:
City:
State:
Zip:
Country:
Telephone:
Email:
Age:
Citizenship:
Date of Birth:

Have you applied to Fort Lewis?	Yes	No
Have you registered with the NCAA Clearinghouse?	Yes	No
Have you applied for Financial Aid with FASFA?	Yes	No

High School Information

Name of High School:
High School Graduation Year:
Academic Interest:
Cumulative Grade-Point Average:
Current Grade-Point Average:
Class Rank:	of
SAT Reading:
SAT Math:
ACT Score:
Academic Honors:
Possible Major at Fort Lewis:

Junior College Information (If Applicable)

Name of Junior College:
Total Number Full-Time Semesters:
Total Number of Units Completed:
Cumulative Grade-Point Average:
Date AA Completed:
JC Coach's Name:
Coach's Phone:
Coach's Email:
Number of Season played at JC:

Athletic Information

Sport you are interested in at Fort Lewis: Men's Basketball Women's Basketball Men's Cross Country Women's Cross Country Football Men's Golf Women's Lacrosse Men's Soccer Women's Soccer Softball Women's Volleyball
Height:
Weight:
Current School: (if different from high school)
Letters won in this sport:
Coach's Name:
Coach's Phone:
Coach's Email:
Position/Event:
Career Statistics (include personal best times):
All-Conference honors in career (first team as a junior, etc.):
Other Athletic Honors in Career (all-state, all-area, etc.):
Other Honors:
Team Highlights in career:
Club, AAU or other organized playing experience: