OCCIDENTAL
FOOTBALL

PERSONAL INFO

FIRST NAME  
LAST NAME  
ADDRESS  
 
CITY  
STATE  
ZIP  
HOME PHONE  
CELL PHONE  
EMAIL  
DATE OF BIRTH  
PARENT/GUARDIAN 1 FIRST NAME  
PARENT/GUARDIAN 1 LAST NAME  
PARENT/GUARDIAN 1 EMAIL  
PARENT/GUARDIAN 2 FIRST NAME  
PARENT/GUARDIAN 2 LAST NAME  
PARENT/GUARDIAN 2 EMAIL  
SIBLINGS  
OCCIDENTAL ALUMNI/STUDENTS KNOWN  

ACADEMIC INFO

LEVEL  
GRADUATION YEAR  
SCHOOL NAME  

SCHOOL ADDRESS  
 
SCHOOL CITY  
SCHOOL STATE  
SCHOOL ZIP  
SCHOOL PHONE  
CLASS RANK  
CUMMULATIVE HS GPA  
ACT COMPOSITE  
SAT MATH  
SAT CRITICAL READING  
SAT WRITING  
SAT TOTAL  
INTENDED MAJOR  

ATHLETIC INFO

HS COACH'S FIRST NAME  
HS COACH'S LAST NAME  
HS COACH'S EMAIL  
HS COACH'S CELL PHONE  
HS COACH'S WORK PHONE  
JC COACH FIRST NAME  
JC COACH LAST NAME  
JC COACH EMAIL  
JC COACH CELL PHONE  
JC COACH WORK PHONE  
PREFERRED COLLEGE POSITION  
HEIGHT  
WEIGHT  
VIDEO LINK  
OTHER SPORTS PLAYED  
ATHLETIC HONORS  
 
 
 
ADDITIONAL NOTES  
PLEASE CERTIFY THAT YOU ARE A HIGH SCHOOL JUNIOR OR SENIOR, OR ARE A CURRENT COLLEGE STUDENT   Yes, it is AFTER September 1st of my Junior year of high school.
No, it is BEFORE September 1st of my Junior year of high school.