SHAWNEE STATE UNIVERSITY

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Please fill out the questionnaire below. An SSU coach or official will contact you soon. Thank you for your interest in Shawnee State Athletics.

Full Name:
Email Address:
Street Address:
City:
State/Province:
Country:
Zip Code:
Phone Number:
Cell Phone:
Date of Birth:	Birth Date: 19
Gender:	Female Male
Height:
Weight:
High School:
City:
State:
Zip:
Year of H. S. Graduation:
GPA:
ACT/SAT Score:
Class Rank:
Intended Major:
Have you applied to SSU?	Yes No
Have you filed your FAFSA?	Yes No
Sport(s) you want to play:		Baseball	Basketball
		Cross Country	Golf
		Soccer	Softball
		Tennis	Volleyball
Position Played:
High School Coach(es):
Phone Number:
Statistics:
Honors Won:
Club Team Coach(es):
Phone Number:
Are you a transfer student?	Yes No
If you are a transfer student, what school did you attend or are you attending?
Other schools you are considering?

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Shawnee State University
940 Second Street
Portsmouth, Ohio 45662-4344
To_SSU@shawnee.edu
740.351.4SSU
TTY: 740.351.3159

Last Updated:
04.01.2009 11:12 AM