Personal Information

First Name:
Last Name:
Phone Number:
Email:
Address:
City:
State:
Zip:
Age:
Date of Birth:
Height:
Weight:
Hometown:
Father's Full Name:
Mother's Full Name:

High School Information

School Name:

High School Address:

Coach's Name: Coach's Phone Number:

Graduation Date: Intended College Major:

GPA: ACT Score:   SAT Score:

Math Score: Reading Score: Writing Score:

Previous College Information

School Name:

School Address:

Coach's Name: Coach's Phone Number:

Years Attended: Years Played:

Football Information

Position:

Athletic Classification (1A, 2A, 3A, etc.): Conference:

40: Vertical: Jersey Number:

Athletic Honors/Statistics:

Serious Injuries:

Friends/Family who attend(ed) CNC:

List Your Three College Choices:

Have You Applied to Carson-Newman? YesNo

Additional Comments: