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):

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:
Intended Major:

Athletic Information

Coach:    Coach's phone:
How long have you been playing tennis?
Do you play tournament tennis on a year round basis? Yes      No
Have you ever had professional lessons? Yes      No
If yes, for how long? With whom?
How do you rank on your school team? Singles Doubles
Your state, sectional, or national ranking:
How far have you advanced in your state's high school playoffs?

Tennis Honors?

Serious injuries while participating in sports:

Have you registered with the NCAA Initial-Eligibility Clearinghouse?
Yes      No      Not Applicable

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.