Athletics Questionnaire

Personal Info

Full Name (Required)

Preferred Name

Street Address (Required)

City (Required)

State (Required)

Zip (Required)

Home Phone (Required)

Cell phone

E-Mail Address (Required)

Email Address (Parents)

Date of Birth

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High School

Complete Name of High School (Required)

City

State

Year of Graduation

GPA

Class Rank

Rank

Class Size

SAT/ACT

Critical Reading

Math

ACT Composite

Academics

High School Academic Honors

Majors you are interested in:

How did you hear about Salem Athletics?

Contacted by Salem Coach

How was contact made? (email, phone, visit, etc.)

Your High School Coach

Salem Admissions Counselor

College Fair

Website

Campus Visit

Salem Alumna/Current Salem Student

Brochure in mail

Other

Please specify:

Sport (check those you wish to play at the collegiate level)

Basketball

Cross Country

Soccer

Softball

Tennis

Track and Field

Volleyball

Equestrian

If you are interested in multiple sports, please list order of importance:

High School Coach

High School Coach's Name

High School Coach's Email

High School Coach's Phone