University of the Cumberlands Football Prospect Information

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Contact Information: 
Full Name 
Home Phone with Area Code
Cell Phone with Area Code
Street address 
City 
State  Zip/Postal code 
County 
E-mail address  
Birth date   
Father's Name:  
Mother's Name:   

I live with: 

Mother Father Both Other

High School Information
High School  
City State  Zip 
Counselor: 
Phone with Area Code: 
Graduation Date 
Cumulative GPA  Rank in Class  Number in Class 
  

College Entrance Information
ACT: COMPOSITE 
SAT: MATH 
SAT: VERBAL 
College Major/Interests 

I give my consent for a copy of my transcript and test scores to be released to the 
University of the Cumberlands   Yes  No  Initials 

For Junior College Transfers Only
Name of School 
GPA     Hours Passed 

Summer League
Summer League Team 
Summer League Location 
Summer League Coach  
Coach's Office Phone:  

Current School Team
School and Team Name 
School Location 
School Team Coach  
Coach's Office Phone 
Coach's Home Phone with Area Code 

List your accomplishments and statistics at your current school here.

Please include height, weight, speed in the 40 yd, speed in the 100 yd,
offensive and defensive position(s) played, specialties, jersey number,
and any serious injuries you have received.


Please List any Records, Honors, or Awards you have received:

Other Schools that have Contacted You about Athletics:

Click here when finished: