Student Athlete Interest Form

Personal Information

Name
Home Phone
Address
City
State
Zip Code
E-mail
Parent Name
Occupation
Parent(s) Name
Occupation
Brother(s) Name
Sister(s) Name

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Academic Background

High School
Year of Graduaton
Phone
Address
City
State
Zip Code
Probable Area of Study in College
What are you looking for in a college? (i.e., location, campus size, environment, and program):

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Athletic Background

Age
Date of Birth
Weight

NHTI offers:
(Please check the sport(s) of your interest)
Men's Basketball
Men's Baseball
Men's Cross Country
Men's Soccer
Men's Volleyball
Women's Basketball
Women's Cross Country
Women's Soccer
Women's Softball
Women's Volleyball
Co-ed Golf

Sport One
Coach's Name
Home Phone
Sport Two
Coach's Name
Home Phone
Hometown Newspaper