BLACK HILLS STATE UNIVERSITY
SPEARFISH, SD


Sports that interest you:

Women's Basketball
Track/Cross-Country
Football
Women's Volleyball
Women's Golf
Men's Basketball
Athletic Training
QUESTIONNAIRE
Name (full): Birthdate:
Address:
City: State: Zip:

School/Address:
(Name of High School)
(Street/box)
(Phone)
(City)
(State)
(Zip)

Coach's Name and Phone:
H.S. Graduation Date: GPA: ACT Score: Class Ranking:

Are You a transfer student? YES NO
If yes, please indicate the institution you are currently attending:

Height: Weight:
Father's Name: Mother's Name:
Intended Major(s):

BEST EVENTS AND MARKS:
Track/CC: Event Mark Event Mark
Basketball: Position Stats/Awards:
Football: Position Stats/Awards:
Volleyball: Position Stats/Awards:

ATHLETES YOU KNOW WHO MIGHT BE INTERESTED IN BLACK HILLS STATE UNIVERSITY:
Name: Phone:
Address:
Name: Phone:
Address: