University of Chicago Baseball


General Information

Today's date (mm/dd/yy)

First name Last name

Street address

City
State Zip

Home Phone Cell Phone

E-mail
Birthdate

Parent/guardian name(s)

Parent/guardian occupation (s)

Other colleges in which you are interested


Academic Information

High school Year of graduation

Street address

City State Zip

Guidance counselor Phone

Grade point average Class rank

SAT Composite

SAT CR SAT Math SAT Writing

ACT Score

Academic fields of interest


Advanced placement courses taken

Academic honors & awards


Athletics Information - High School

Head coach Phone

Position(s)

Height Weight Years on varsity

Applicable statistics


Athletic honors & awards


Other varsity sports played


Athletics Information - Summer League, Etc.

Name & location of team

Head coach Phone


Position(s) Years played

Additional information

Are you interested in another varsity sport at Chicago?

If yes, which sport

Have you, or do you plan to, submit a questionnaire to another head coach?