Enrollment Management
1000 West Austin, Nevada, Missouri 64772
Phone: (888) 5COTTEY
Phone: (417) 667-8181
Email: sbeason@cottey.edu


Prospective Student-Athlete Questionnaire

Student Contact Information

* Required fields

First Name:*
Last Name:*
Email Address:*
Phone:*
Date of Birth:* (MM/DD/YYYY)
Address:*
City:*
State:*
Zip Code:*



Academic Information

High School Name:*
Phone Number:*
Address:
City:
State:
Zip Code:
Graduation Date:* (MM/DD/YYYY)
Cumulative GPA:
Class Rank:
ACT Score:
SAT Score:
Intended Major:
Counselor's Name:
Counselor's Phone Number:

Scholastic Awards and Accomplishments:





Athletic Information

Sport:





Basketball
Volleyball
Softball
Cross Country/Track
Golf
Tennis

Best Position:
Years at Varsity Level:
Height:
Weight:
High School Coach:
Coach's Phone Number:
Club Team Name:

Individual/Team Highlights:



Video Links:



Upcoming tournament or league play where you can be seen:



Statistical Information:*



Additional Information:








© 2004- Cottey College   •   1000 West Austin, Nevada, Missouri 64772   •   Phone: 417-667-8181   •   Fax: 417-667-8103