Personal Information

Name:
E-MAIL Address:
Street Address:
City: State: ZIP:
Home phone: Date of birth(mm/dd/yyyy):  
Age: Height:   Weight:
Parent's name(s):

Gender: Male   Female

Scholastic Information

School Currently Attending:  
High School Junior College 4 year College/University High School Classification: 5A   4A   3A   2A   1A  Private Other
Date of your graduation:
Grade point average:   Class rank:
ACT:   SAT:
Academic Honors and Advanced Courses Taken:
Intended Major:
College Attended:
Enrollment Was: Full-time Part-time

Athletic Information

How long have you been playing soccer?
Position(s) played (in order of preference):
Current Club Team:
Club Coach:     Phone: E -mail:
HS Coach:     Phone: E -mail:
Video available?: Yes No
Soccer Honors and Awards:

General Information

Additional Information:

Have you registered with the NCAA Initial-Eligibility Clearinghouse?
Yes No

If NO, contact your guidance counselor, who can obtain materials, at no cost, by calling the Clearinghouse at 319-337-1492. Registration with the NCAA Clearinghouse can also be done at www.ncaaclearinghouse.net. Also, when taking the SAT and ACT, scores can be sent to the clearinghouse by putting the clearinghouse's institution code "9999" in the box when registering to take the tests.

Have you completed the FAFSA application (ENMU code= 002651)?
Yes No

Have you completed the online ENMU application?
Yes No

How interested are you in Eastern New Mexico University?
ENMU is in my top three choices
I'm interested, please send me more information.