Gannon University

*Full Name:
Nickname/Prefer to be called:
*Street Address:
*City:
*State:
*Zip Code:
E-Mail Address:
Telephone:
Graduation Date:
Date Of Birth:
Father's Name:
Father's Occupation:
Father's Emplyer:
Mother's Name:
Mother's Occupation:
Mother's Employer:

Are parents Separated?   Divorced?
   If so, with whom do you live? Father   Mother

Siblings: (name & age):

How would you describe yourself? (optional)
    Asian, Pacific Islander     Black, African-American
    Eskimo, Aleut, Native American     Hispanic, Latino
    White     Other

High School:
School Telephone:
Guidance Counselor's Name:
High Schol GPA:
Class Rank:
Class Size:
ACT Composite:
SAT Verbal:
SAT Math:

Academic Awards/Honors:

Intended Major:

Other Schools You Intend to Apply to:

Do you intend to apply for financial aid?	Yes   No
Coach's Name:
Coach's Phone:
Years on Varsity:

Positions Played:

Height:
Weight:

Summer Camps/Club Teams (name/year):

Athletic Honors/Award:

Game Specialty/Background:

Do you plan to play another varsity sport at Gannon?   Yes   No