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The form below is for the use of prospective student athletes who wish to play intercollegiate sports at Rogers State University. Please use this form to contact our coaching staff and sports information department. Note: any information you submit is voluntary and will be kept on file in the Athletic Department. Information will not be sold or released to third parties.

Personal Information
Full Name (required):
Preferred Name:
E-Mail (required):
Home Address:

City: State: Zip:

County:
For addresses outside the U.S., please input your address here:
Home Phone:
Birth Date:
Family Information
Parents Are:
I Live With:
Father's Name: Occupation:
Father's Address:
City: State: Zip:
Father's Phone:
Mother's Name: Occupation:
Mother's Address:
City: State: Zip:
Mother's Phone:
Give names and ages of siblings:
How many of those siblings are in college?
Friends or relatives who attended/are attending RSU?
Financial Information
Will you apply for financial aid?
Does your family own a business?
Academic Information
High School or Junior College Name:
Address:

City: State: Zip:

Phone:
School Principal:
Counselor:
Counselor Phone:
Graduation Date: 
Class Rank: out of in class
SAT verbal: SAT math: ACT composite:   GPA:
Number of Units/Years Taken in Subjects Below:
Algebra English Science
Geometry Social Science Foreign Language
AP or College-Level Courses Taken
How many required (core) courses have you taken?
Please provide your NCAA Eligibility Center ID, if you have registered:
Intended field of study or career interest:
Top five colleges of interest:
Other colleges attended:
Academic Accomplishments/Honors:
Why do you want to go to RSU?
Athletic Information
Primary Sport:
Type the name of the sport you chose above exactly as it appears (anti-spam measure)
Height:
Weight (men):
Position Most Frequently Played:
Position Desired:
Dominant Hand:
Number of Years Played:   Jersey Number:
Do you have video available of yourself?
High School Athletic Website:
What other sports do you play?
High School/Junior College coach's name:
Coach's phone:
Coach's e-mail:
College your coach attended:
Club Team (if applicable):
Club coach's name:
Coach's phone:
Coach's e-mail:
College your coach attended:
Injuries and Dates:
Athletic Honors and Awards (MVP, all-conference, all-state, team honors and awards, etc.):
Statistical Information
Give applicable stats for your sport or event. RSU coaches have asked for particular information for their respective sports below and to the left. Supply your statistics in the box below and to the right.
  • Basketball: Sophomore, junior and senior stats (PPG, REBS, AST, STL, BLK, FG%, FT%, 3PT%, team record)
  • Baseball: Sophomore, junior and season offensive stats (BA, 2B, 3B, HR, 4BI, R, STLS); pitching (W-L, ERA, K, BB, IP); team record; 60-yard dash
  • Softball: Sophomore, junior and season offensive stats (BA, 2B, 3B, HR, 4BI, R, STLS); pitching (W-L, ERA, K, BB, IP); team record; 60-yard dash
  • Soccer: Sophomore, junior and senior season stats (goals, assists, team record)
Please list other top players in your area (name, height, weight, year of graduation, school, city):
To acknowledge that an official high school transcript may be sent to RSU for the Guidance Department upon request, enter your initials below:
Your initials Parent's initials
(This field should remain blank.)
Note: Frivolous use of this form will result in your IP address being logged, possible blockage from further submissions, and other action deemed necessary by the Athletics Department.