Drury University

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Baseball
Basketball
Cross Country
Golf
Soccer
Swimming & Diving
Tennis
Track & Field

Basketball
Cross Country
Golf
Soccer
Softball
Swimming & Diving
Tennis
Track & Field
Volleyball

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Prospective Athlete Form

This form is not an official university application.

Personal Information
Name *
Address
City
State
Zip / Postal
Country
Telephone
Cell Phone
Email *
Date of Birth
Citizenship
Parents' Names
Academic Information
High School Name
College Name (if applicable)
High School Address
High School Phone
High School Graduation Year
Intended Major
High School Grade-Point Average
College Grade-Point Average (if applicable)
Class Rank (x of x)
SAT Score (verbal and math)
ACT Score
Do you plan to take either test again?	YesNo
If yes, which one and when?
Academic Honors
Have you applied to Drury? *	YesNo
Have you registered with the NCAA Clearinghouse? *	YesNo
Have you applied for Financial Aid with FASFA? *	YesNo
Other colleges you are interested in
Athletic Information
Primary sport you are interested in	Baseball Men's Basketball Men's Cross Country Men's Golf Men's Soccer Men's Swim & Dive Men's Tennis Men's Track and Field Softball Volleyball Women's Basketball Women's Cross Country Women's Golf Women's Soccer Women's Swim & Dive Women's Tennis Women's Track and Field
Other sports
Height
Weight
Current Team (if different from high school)
Letters Won in this sport
Coach's Name
Coach's Phone
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
ODP
Junior College Information (If Applicable)
Name of Junior College
Total Number Full-Time Semesters
Total Number of Units Completed
JC Coach's Name
Coach's Phone
Coach's Email
Number of Seasons played at JC
International Student Information (If applicable)
Cumulative Grade-Point Average
Date AA Completed
Citizenship
TOEFL Score
Type of TOEFL Score:
Have You Already Attended A University?	YesNo
If So, What University?
Total Number Full-Time Semesters
SAT Reading Score:
SAT Math Score:
Follow Up
I would like to: *	Schedule a Campus Visit Be Contacted by a Head Coach Receive an Application For Admission

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ï¿½ 2010 Drury University, 900 North Benton Avenue. Springfield, MO 65802

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