SIUE Baseball - Prospective Student-Athlete Form

Southern Illinois University Edwardsville
Baseball
Prospective Student-Athlete Form

Application for Admission to SIUE
Financial Aid
Online Tour
Quicklinks for Students
Undergraduate Catalog

Thank you for your interest in SIUE. Please fill out the form and click on the submit button at the bottom.

Name
First M.I. Last Suffix (Jr., Sr., etc.)

Social Security Number

(Optional) Date of Birth
Mo. Date Year
E-mail
Height
Weight

Address

City State ZIP Code Country Telephone

Mother's Name Father's Name

Name of High School or Junior College

School Address

City State ZIP Code Telephone

Coach's Name Telephone

Position(s) Yrs. of Experience Teams other than school:

Bats
Throws

Last Season

Batting Avg. Total At Bats Fielding Avg. Stolen Bases Slugging % On Base %

Pitchers Only

ERA	Strikeouts	Walks	W/L Record

Pitches I Throw Effectively	Speed of fast ball (if known)

ACT Score	SAT Score	Class Rank	Grade Point Ave.

References regarding playing ability:
(include Name, Relationship to you, and phone number)

Term in which you intend to enter SIUE
Fall Semester	Spring Semester	Summer Session	Year:

Do you plan to live on campus? Yes No Undecided

Please double-check your entries to make sure they are correct. After you have pressed the submit button, please give the server a few seconds to process your request.

URL: www.siue.edu/ATHLETIC/BB/form.html
Published by: SIUE Sports Information
Last update: July 13, 2001 by ehess@siue.edu

Social Security Number (Optional)	Date of Birth Mo. Date Year
E-mail	Height	Weight

Position(s)	Yrs. of Experience	Teams other than school:

Batting Avg.	Total At Bats	Fielding Avg.	Stolen Bases	Slugging %	On Base %