Personal Information

First Name (required)

Last Name (required)

Home Address (required)

City (required)

State (required)

Zip Code (required)

Your Email (required)

Home Phone

Cell Phone (required)

Date of Birth (mm/dd/yyyy)

Height

Weight (lbs)

Parents' Names

Academic Information

High School

High School Name

High School Address

High School Phone

High School Graduation Year

High School GPA

Intended Program Of Study at SSC

College Transfer

Have You Attended Any Other Colleges?
yesno

Previous College Name

Did You Participate in Athletics at this Institution?
yesno

If Yes, Then What Sport(s) and What Year(s):

Athletic Information

Primary Sport You're Interested In (required):
—Please choose an option—baseballmen's basketballwomen's basketballmen's soccerwomen's soccersoftballvolleyball

Other Sports:
baseballmen's basketballwomen's basketballmen's soccerwomen's soccersoftballvolleyball

High School Varsity Sports Played

High School Coach's Name

High School Coach's Phone

Position(s) Played (if applicable)

Travel/Club/AAU Team

Additional Honors/Awards/Experience:

Please leave this field empty.

I understand this form is not an official college application