Dixie State College Athletics
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Recruiting Form
Sport:
*
Baseball
Cheerleaders
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Football
Men's Basketball
Men's Golf
Men's Soccer
Softball
Women's Basketball
Women's Soccer
Women's Tennis
Women's Volleyball
First Name
*
Last Name
*
Address
*
City
*
State
*
Zip
*
Date of Birth (MM/DD/YR)
*
Email Address
*
Phone
*
ACADEMIC INFORMATION
Freshman/Transfer
*
Select...
Freshman
Junior College (2 YR)
Four Year
School Name (High School or College)
City, State, Zip
Graduation Date (Mo/Yr)
*
GPA
*
SAT/ACT Score
*
Are you registered with the NCAA Clearing House?
*
Yes
No
Clearinghouse ID
FAMILY INFORMATION
Father's Name
*
Occupation
*
Attended College?
Yes
No
Mother's Name
Occupation
*
Attended College?
Yes
No
Parents are:
Married
Divorced
Seperated
Number of brother's and sisters?
Religous Affiliation (optional)
Annual Household Income (optional)
$0K-$45K
$46K-$75K
$76K-$125K
$126K and over
Have you applied for FAFSA (Federal Financial Aid) @ FAFSA.ed.gov?
*
Yes
No
GENERAL INFORMATION
Have you completed a Dixie State application?
Yes
No
Other Sports you compete in?
Personal bests/Honors in other Sports
ATHLETIC INFORMATION
Height
Weight
Position
Coach's Name
Home Phone
Work Phone
Summer Team
Coach's Name
Year's as a Starter (check all that Apply)
Freshman
Sophomore
Junior
Senior
ADDITIONAL INFORMATION
Individual Atheltic Honors
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