SIU
WOMEN'S VOLLEYBALL

PERSONAL INFORMATION

FIRST NAME  
LAST NAME  
ADDRESS  
 
CITY  
STATE  
ZIP  
HOME COUNTRY  
HOME PHONE  
CELL PHONE  
EMAIL  
DATE OF BIRTH  
FACEBOOK  
TWITTER  
PERSONAL WEBSITE  
MOTHER'S FIRST NAME  
MOTHER'S LAST NAME  
MOTHER'S EMAIL  
MOTHER'S WORK PHONE  
MOTHER'S CELL  
MOTHER'S ALMA MATER  
MOTHER'S OCCUPATION  
FATHER'S FIRST NAME  
FATHER'S LAST NAME  
FATHER'S EMAIL  
FATHER'S WORK PHONE  
FATHER'S CELL  
FATHER'S ALMA MATER  
FATHER'S OCCUPATION  
LIVES WITH  
SIBLINGS NAMES, AGES & COLLEGES  
IN ORDER, PLEASE LIST THE TOP 5 SCHOOLS YOU ARE CONSIDERING  
ON A SCALE OF 1-10 (10 BEING HIGHEST) PLEASE RATE YOUR LEVEL OF INTEREST IN SOUTHERN ILLINOIS UNIVERSITY  
PERSON MOST INFLUENTIAL IN YOUR COLLEGE DECISION AND RELATIONSHIP TO YOU  
FRIENDS AND/OR FAMILY WHO HAVE ATTENDED SIU?  
ARE YOU REGISTERED WITH THE ELIGIBILITY CENTER?  
IF YES, WHAT IS YOUR ELIGIBILITY CENTER ID?  

ACADEMIC INFORMATION

GRADUATION YEAR  
LEVEL  
HS NAME  

HS ADDRESS  
 
HS CITY  
HS STATE  
HS ZIP  
HS PHONE  
HS WEBSITE  
CLASS RANK  
GPA/SCALE  
ACT  
SAT TOTAL  
INTENDED MAJOR  

ATHLETIC INFORMATION

HS COACH'S FIRST NAME  
HS COACH'S LAST NAME  
HS COACH'S EMAIL  
HS COACH'S CELL PHONE  
HS COACH'S WORK PHONE  
PRIMARY POSITION  
DOMINANT HAND  
HEIGHT  
WEIGHT  
APPROACH TOUCH (FT/IN)  
BLOCK TOUCH (FT/IN)  
JERSEY NO  
SIGNIFICANT INJURIES? IF YES, PLEASE LIST.  
ATHLETIC HONORS  
OTHER SPORTS PLAYED  
ONLINE VIDEO LINK  
 

CLUB TEAM

CLUB TEAM NAME  
CLUB COACH'S FIRST NAME  
CLUB COACH'S LAST NAME  
CLUB COACH'S EMAIL  
CLUB COACH'S CELL PHONE  
CLUB WEBSITE  
CLUB DIRECTOR FIRST NAME  
CLUB DIRECTOR LAST NAME  
CLUB RECRUITING COORDINATOR FIRST NAME  
CLUB RECRUITING COORDINATOR LAST NAME