Franklin & Marshall College
Prospective Student-Athlete Questionnaire
Page 1

Please note: Fields in bold red are required.

CONTACT & PERSONAL INFO

First name:

Middle name or initial:

Last name:

Preferred nickname:

Gender: female       male

Birth date:
     Year

E-mail address:

Phone:

Permanent mailing address:

City:

State:   ZIP:

City prefix/suffix (outside U.S):

Country:

Visa type (non-U.S. citizens only):

HIGH SCHOOL INFO

High School:

Address:

City:

State:   ZIP:

City prefix/suffix (outside U.S):   

Country:

ACADEMICS

Expected term of entry to F&M:

Student type:

Intended field of study:

SAT score:    ACT score:    GPA:

OTHER INTERESTS

Please list any extracurricular activities (clubs, hobbies, community service, family interests). Indicate which of those activities you hope to pursue in college: