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Volleyball Student-Athlete Interest Profile

About You

First Name

Last Name

Preferred Name

Date of Birth (mm/dd/yy)

Height Weight

Male Female

Street Address
Street Address (line two if necessary)

City

State

ZIP

Home Phone

Cell Phone

E-mail Address
What are some of your extracurricular school/ community activities?
Do you intend on applying for financial aid?YES NO
Rate your level of financial need
What is your interested area(s) of study?
Do you or your family have any ties to Lewis & Clark?
What other colleges are you interested in attending?

About Your School/ Academics

High School/JC

City

State

ZIP

Class Rank of

Graduation Date

Grade Point Average

Standardized Test Scores (best scores to date)

SAT Verbal SAT Math SAT Written

ACT
How many years of each of the following subjects did you/ will you complete in high school?
ENGLISH Four Required
MATH Four Required
SOCIAL STUDEIS/ HISTORY Three Required/ Four Preferred
LAB SCIENCE Three Required
FOREIGN LANGUAGE Two Required/ Three Preferred
FINE ARTS One Required

VOLLEYBALL INFORMATION

Position Dominant Hand

Years JV

Years Varsity

Years Club
Varsity Head Coach Coach's email
Club Name Club Coach

Athletic Awards/ Honors:

Do you have a video available? yesno

Other Sports

I plan to participate in these other intercollegiate sports in College:

Baseball
Basketball
Crew
Cross Country

Football
Golf
Softball
Swimming

Tennis
Track & Field
Volleyball

ADDITIONAL INFORMATION ABOUT YOUR FAMILY

Father's Name

Father's Occupation

Father's College Attended

Mother's Name

Mother's Occupation

Mother's College Attended

Parent's Status MarriedDivorcedOther

I live with BothMotherFatherOther

Number of siblings
If any siblings in college, list schools attending If any siblings graduated college, list schools attended

OPTIONAL: Ethnic Background

Submit Info

Additional comments: