Keene State College Prospective Athlete Form

Sport
Name
Home address
City
State/ Zip code
High School/ HS Graduation Date
Date of Birth
Cell/ Home Phone
Email address
Parent's/Guardian's Names
Intended College Major
SAT Scores: Verbal / Math / Writing
Grade Pt. Avg.
High School Coach/ Phone Number
High School Coach Email
Prior College
Sport(s) Played in High School
Position/ Height
Have you applied to Keene State?
Athletic Accomplishments
Additional Comments