Name          
                     (Last)                             (First)               (Initial)

Address

City      State      Zip

Year of Graduation   

Home Number  ( )    Birth Date   

Cell Phone Number   ( )   

Soc. Sec. #  Fax Number ()

Email

Father   Occupation  

Work Phone ( )   College

Mother Occupation

Work Phone ( )   College

Brothers/Sisters (Names and ages)

OPTIONAL: The following information is voluntary and will not affect your admission to Trinity College or eligibility to participate in athletics.

Parents are:  Married  Divorced  Separated

I live with: Mother  Father Both

How would you describe yourself?

Asian  Black, Afr. Am.  Caucasian

Hispanic, Latino  Native Amer.  Other

School     
School Phone  ( )      
School Fax ( )

Address

City      State      Zip

Guidance Counselor  
Academic Interest     

GPA Class Rank  /     

PSAT:  V   M   W     SAT:  V   M  W
ACT       SAT II       

Year of Graduation   

Academic Honors

Trinity Students/ Alumni you know

Will you apply for Financial Aid?   Yes    No

Ht.      Wt.     40 time  

Positions Off. Def  

Preferred Position   Jersey #

Specialists: Kick  Punt  Snap  Return

HS Head Coach:     
Home Phone:  ( ) Work Phone:( )

Athletic Honors: 

Other Schools you are considering 1)    2)

3