Prospective Student Athlete Form

Please use this form as an initial contact with the Houghton Athletics Department.  This information will be sent to the Houghton Coach(es) you specify by sport, so they may contact you in the future.  Please follow the directions on this form and complete all applicable fields.  Thanks for your interest in Houghton Athletics!

Personal Information

*Full Name (Last, First, MI)

*Email Address

*Address

*City
*State/Province
*ZIP code
*Country

Date of Birth (dd/mm/yy)

*Home Phone
Gender
Father's Name
Father's Occupation
Mother's Name
Mother's Occupation

Home Church

Denomination

*Why would an Evangelical
Christian College be
important to you?

*required fields
Academic Information
High School
City
State
ZIP code
Year of Graduation
GPA
Class Rank
S.A.T. Scores: Verbal Math
A.C.T. Scores:

English Comp.

Math

TOEFL
Other Academic Achievements
Academic Area of Interest
Honors/AP Courses

Other: Church, Community, 
School Activities  

Including Houghton, please rank all schools
you are considering

Top Choice

Second Choice

Third Choice

Fourth Choice

Fifth Choice

Do you know anyone who has attended Houghton College?

If yes, who?

Athletic Information
Sport You Are Interested in
Secondary interest (not required)
Position(s)
Height
Weight

High School Statistics

Basketball

Points/game

Rebounds/game

Assists/game

Steals/game

Blocks/game

FG%

3FG%

FT%


Field Hockey and Soccer

Career goals

Career assists

Career saves

Career shutouts


Volleyball

Kills/game

Digs/game

Aces/game

Assists/game


Cross Country and Track

Event 1

Time/Height

Event 2

Time/Height

Event 3

Time/Height

Event 4

Time/Height

   
Years Started on Varsity 4
Honors/Awards
High School Coach's Name
Phone

Other Experience
(e.g. club teams, ODP, AAU,
provincial, national teams)

Club Coach's Name

Phone

Would you like an admissions packet and application sent to you? Yes No