Title: Mr. Ms
First name:
Last name:
Address:
City:
State: IN AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Zip code:
Email:
Phone: ( ) - -
Date of Birth:
High School:
Sport: Mens Basketball Women's Basketball
Head Coach's Name: (optional)
Year Graduating from High School:
Have you applied to IU South Bend: Yes No
My Cumulative GPA: 2.00 - 2.50 2.50 - 3.00 3.00 - 3.50 3.50 - 4.00 over 4.00
My Class Rank is in the upper: 10% 25% 50%
My tests Scores (if available): SATV: SATM: ACT:
Events:
Performances:
Anticipated Field of Study: (optional)
Career Athletic Highlights: (optional)
My other activities at school or my community: (optional)