Required Fields **
Zip / Postal
Date of Birth
High School Name
College Name (if applicable)
High School Address
High School Phone
High School Graduation Date (MM-DD-YY)**
Current Grade in School**
Intended Major at Southern Illinois
High School Grade-Point Average
College Grade-Point Average (if applicable)
Class Rank (x of x)
SAT Score (verbal and math)
Do you plan to take either test again?
If yes, which one and when?
Have you ever applied to Southern Illinois?
Do you intend to apply for financial aid at Southern Illinois?
Other colleges you are interested in
Are you registered with the NCAA Eligibility Center?
If yes, enter registration number
Primary sport you are interested in
Current Team (if different from high school)
Letters Won in this sport
Athletic Honors (all-conference, all-state, all-area, etc.)
Team Highlights in career:
Club, AAU or other organized playing experience