Athlete Information Submission Form

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Form for prospective athletes to use to submit their information.

Personal Information

Last Name: *

First Name: *

M I:

Date of Birth: *

Home Address

Street: *

Street 2:

City: *

State or Province: *

Postal Code: *

Country: *

Home Phone Number: *

Mobile Phone Number:

Email:

Academic Information

High School: *

Date of Graduation: *

ACT

ACT Date:

Date ACT was taken

ACT Score:

ACT Verbal:

ACT Math:

ECC Application: *

Yes

Academic Program:

Academic Program desired at East Central College:

Athletic Information

Preferred Sport: *

Main sport you are interested in at East Central College.

Total Letters Won:

Coach's Name: *

Coach's Phone Number: *

Height: *

Weight: *

Position/Event: *

Current Season Statistics:

Career Statistics: *

Athletic Honors:

All-Conference, All-State, etc.

Other Honors:

Other Varsity Sports Played:

Other Information

Visit Dates:

Dates you can visit East Central College.

Financial Aid Needed: *

Yes

Will you need financial assistance?

FAFSA Filled Out: *

Yes

Have you filed the FAFSA form for financial assistance?

Other:

Please enter any other information you would like to submit to the coaching staff.

Athlete Information Submission Form

ECC Sports

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