ATHLETE PROFILE
Sport:
Date:
   
First Name: Middle Initial:
Last Name:
Date of Birth:
   
 
Address:
City:
State:
Zip Code:
Phone #:
Fax #:
Email:
 
Height:
Weight:
Primary Position/Event:

COLLEGE CHOICES:

 

1)
2)
3)

 
 Intended Major:
       
Have you registered with the NCAA Clearinghouse?
 YES   NO
     
Have you applied to Binghamton?
 YES  NO
     
Have you visited Binghamton? YES  NO
HIGH SCHOOL INFORMATION
 
High School
Graduation Date:
Class:
         
GPA:
Class Rank:
SAT-Verbal:
SAT-Math:
ACT:
 
 
High School Name:
Class:
         
Address:
City:
State:
Zip Code:
Phone #:
Fax #:
 
Coach:
Address:
City:
State:
Zip Code:
Home Phone #:
Work Phone #:
 
Guidance Counselor:
Phone #:
 
List Honors/Awards Received
         

FAMILY INFORMATION
 
Father's Name:
Occupation:
Mother's Name:
Occupation:

FOR TRANSFER STUDENTS ONLY
COLLEGE INFORMATION
       
4-Year College:
Division:
 I II III
Address:
City:
State:
Zip Code:
 

Year(s) Attended:
# of full-time semesters:
 
# of credits taken:
G.P.A.:
Did you receive any scholarships? Yes No  
 
Years played:
Years Starter:
Varsity:
JV:
Position/Event:
 
College Coach:
Home Phone #:
Work Phone #:
Email:
Fax #:
JUNIOR COLLEGE INFORMATION
       
Junior College Name:
Division:
  I II
Address:
City:
State:
Zip Code:
Phone #:
Fax #:
 

Year(s) Attended:
# of full-time semesters:
 
# of credits taken:
G.P.A.:
Graduation Date: Anticipated Graduation Date:
Years played:
Years Starter:
Position/Event:
 
College Coach:
Home Phone #:
Work Phone #:
Email:
Fax #:
LIST OTHER COLLEGES YOU HAVE ATTENDED AND DATES OF ATTENDANCE
ADDITIONAL COMMENTS

 

Fill out the form and send it to the following address:
Binghamton University - West Gym
c/o Athlete Profile
P.O. Box 6000
Binghamton, NY 13902