Please Enter All That Apply:

First   MI   Last

SSN#   Prefer to be called:   Phone:

Street:

City:   State:   Zip Code:

Academic Interest or Major(s):

Activities:

HS Grad Year:   Class Rank:   Class Size:

High School Name:

High School Address:

High School Phone:   HS GPA   ACT/SAT Scores:

Colleges Attended:   Cumulative College GPA:

Who do you know who has attended Baker?

Name of Father or Guardian:   Occupation:

Name of Mother:   Occupation:

Birthdate:   Number in Family:   Number in College:

Height:    feet inches  Weight:   Jersey Number:

Position on Offensive:   Position of Defense:

Specialty:

Speed: 40-yard dash:   100 meters:

Name of your Head Coach:   Office Phone:

Home Phone:

List other sports you participate in:

List other schools of interest:

Additional Comments: