Print this form and return to:                                                                    

Bryan McLain                                                               

Baseball Office                                                             

Georgia Southwestern St.

800 Wheatley St.

Americus, Ga 31709

Phone #:  (229) 931-2843

 

PERSONAL INFORMATION

 

NAME:___________________________________________SSN#______-______-__________

 

BIRTH DATE: __________________

 

ADDRESS:______________________________________________________________

 

CITY/STATE____________________________________________________________

 

HOME PH#_____________________________________________________________

 

PARENTS NAME(S)______________________________________________________

 

ADDRESS DIFFERENT (if different): ________________________________________

 

_______________________________________________________________________

 

HOME PH# _____________________________________________________________

 

BASEBALL  INFORMATION

 

POSITION(S) ___________ BATS:  RIGHT OR LEFT                  THROWS: RIGHT OR LEFT

 

 

HIGH SCHOOL ATTENDING:_____________________________   YEAR GRADUATED _________

 

HIGH SCHOOL COACH__________________________________   PHONE # ___________________

 

LEGION TEAM:_________________________________________

 

LEGION COACH:________________________________________   PHONE # ___________________

 

JUNIOR COLLEGE ATTENDING: _________________________   GRADUATE?  YES or NO

 

JC COACH: ____________________________________________    PHONE # __________________

 

HONORS/AWARDS:

 

 

LIST THE BEST 3 PLAYERS YOU HAVE PLAYED AGAINIST AND THEIR HIGH SCHOOL OR JC:

 

ACADEMIC INFORMATION

 

 

 

 

COURSES TAKEN AND NUMBER OF YEARS:   In High School and Junior College

 

_________         ENGLISH (circle) Literature, Composition, Grammar and Usage

 

_________         MATH  (circle)  Algebra I, Algebra II, Geometry, Trigonometry, Calculus

 

_________         SCIENCE (circle)  Physical Science, Biology, Chemistry, Physics

 

_________         SOCIAL SCIENCE (circle)  American History, World History, Economics,Govmt

 

_________         FOREIGN LANG. (circle) Spanish, French, German, others…..

 

_________         ADDITIONAL ELECTIVES THAT ARE COLLEGE PREP (list below)

 

 

SAT SCORES: _________          VERBAL: _________                 MATH: ___________

 

ACT: _________                        GPA: __________           CLASS RANK: __________

 

 

 

 

 

 

FINANCIAL AID INFORMATION

 

 

WILL YOU APPLY FOR GOVERNMENT AID?   YES or NO  (circle)

 

DATE THAT YOU APPLIED: _________________

 

 

ARE YOU A CANDIDATE FOR THE HOPE SCHLORSHIP?    YES or NO (circle)

 

 

JUNIOR COLLEGE ONLY:  DID YOU RECEIVE PELL GRANT MONEY?    YES or NO

           

If yes, HOW MUCH? __________

 

 

 

ADDITIONAL COMMENTS