Please fill out one form per athlete.

Social Security Number
Full Name

Address

City, State, Zip
Home Phone
Age
Birthdate
Birthplace
Height
Weight
Vertical Jump
Position
Jersey Number
TOP THREE COLLEGE CHOICES 
1.
2.
3.
Who has the most influence on you other than your parents?
List any South Plains college Alumni you know
Other Comments, if desired
Email Address
Family Information 
Father's Name
Occupation
Employer
Work Phone
College Attended
Mother's Name
Occupation
Employer
Work Phone
College Attended
Sibling's Name  Age 
Parents are: Married
Divorced
I Live With: Both
Mother

Father

Other
Athletic Information 
School Name
Mascot
School Address
City state Zip
School Principal
School Phone
Graduation date
Overall GPA
Class Rank
Intended College Major
SAT Score
ACT Score
Coach
Home Phone
College Attended
School Name
Athletic Information SENIOR YEAR 
Head Coach
Rebounds
Steals
Assists
FG%
FT%
Points Per Game
Awards and Honors
Athletic Information JUNIOR YEAR 
Head Coach
Rebounds
Steals
Assists
FG%
FT%
Points Per Game
Awards and Honors
Best player played against in High School  High School 
(When you click Send My Information, it will automatically send us your form and allow you to view the information you sent. You should print that page for your own records. Please only send us your information once, and only send one student's information per form)

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E-mail comments or suggestions to info@southplainscollege.edu
Revised:
December, 2004
1401 S. College Ave., Levelland, TX, 79336 806-894-9611