Athletic Questionnaire

Thank you for your interest in SMWC's athletic programs. Please use the form below to get in touch with the appropriate athletic directors.

* = required field

Personal Details

Name *

First Name MI Last Name

Address *

Address Line 1
Address Line 2

City State Zip

Email *

Example: jane@smwc.edu

Phone *

Example: (812) 535-5151

Parent / Guardian Information

Parent/Guardian 1

Parent / Guardian's Name

Occupation

Parent/Guardian 2

Parent / Guardian's Name

Occupation

High School Information

School Info *

High School Name

City State

High School Phone Number

Graduation Date *

Graduation / Anticipated Graduation

GPA *

GPA (4.0 Scale)

SAT *

SAT Score

Athletic Details

Height

Please use feet / inches

Weight

Please use pounds.

Academic Interests

Areas of Possible Study

Example: Accounting, Business Administration

Interest in SMWC?

Top Choice Strong Choice Just Informational

More Info?

Please send an admission packet by mail. I would like to receive email newsletters from SMWC.

Anti-Spam Test

Enter the characters below: *

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Athletics