University of Northern Iowa - Official Athletic Site - niwa

Fields denoted with (*) are mandatory.

Personal Information
*Name():**
*Graduation Year():**
*Address():**
*City():**
*State()**:
*Zip():**
*Home Phone():**
Cell Phone:
Social Security Number - For NCAA Clearinghouse Purposes(*):
Birthdate:
Age:
Height:
Weight:
Father's Name:
Occupation:
Alma Mater:
Mother's Name:
Occupation:
Alma Mater:
Siblings (names and ages):
*Email address():**

Academic Information
*High School():**
High School Address:
High School City:
High School State:
High School Zip:
High School GPA:
Class Rank (__ out of __):
SAT:
ACT:
Counselor's name:
Counselor's Phone:
Clearing house pin #:
Anticipated Area of Study/Major:
Educational Goals/Career Goals:
Other activities (sports, organizations, etc.):

Softball Information
*Position():**
Secondary Position(s):
Speed H-1st:
Speed H-H:
Bats:
Throws:
*High School Coach's Name():**
Coach's Phone:
Uniform No.:
Statistics:
Honors:
Summer Team Coach's Name:
Coach's Phone:
Uniform No.:
Statistics:
Check your level of interest	Need more information
in UNI:	Interested
	Very Interested
	Top 2 or 3
	My top choice
Top five college choices (not in order):

Please feel free to send any additional information (tournament schedules, videos, etc.)