HOME ABOUT KSU ACADEMICS ADMISSIONS ATHLETICS Sports at KSU Baseball Football Golf Schedule Results Athlete Photos Roster Coaching Staff Recruiting Questionnaire Men's Basketball Track/Cross Country Softball Volleyball Women's Basketball COLLEGES & SCHOOLS LAND GRANT STUDENT AFFAIRS

On-Line Campus   Future Students   Parents   Alumni & Friends   KSU Students   Faculty & Staff   Visitors   Athletics Recruiting Questionnaire Questionnaire Sheet Date: Name: Home Address: City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip: Home Phone: Age: Birth Date: Height: Weight: Status: Single Married Divorced Other Parent Guardian Name: Mother: Father: Parents Occupation: Mother: Father: Number of children in family: School: High Jr. College College Other Class: Freshmen Sophomore Junior Senior Grade Point Average: ACT Score: SAT Score: Class Rank: Have you ever attended another college/university: Yes No Major / Intended Major: School Name: Graduation Date: School Address: City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip: School or Athletic Dept. Phone Number: Coach Name: Phone Number: Do you play any other sports? Yes    No If yes, please list: Hobbies:

	Emergency Procedures     Global Calendar     Site Index     Webmaster     Directory      Privacy Statement
Kentucky State University is accredited by the Commission on Colleges of the Southern Association of Colleges and Schools to award undergraduate and graduate degrees. ©2004 Kentucky State University  400 East Main Street Frankfort, KY 40601  (502) 597-6000