Personal Information
Name:
Address:
City:	State:    Zip:
Phone:
E-mail:	Fax:
DOB:	SS#:
Ethnic Status: (optional)	Asian/Pacific IslanderAlaskan Native/Native AmericanCaucasian Hispanic/LatinoBlack/African American Other
Father's Name:	Alma Mater:
	Occupation:  Employer:
Mother's Name:	Alma Mater:
	Occupation: Employer:
You Live With: Both  Mother  Father
Family Size:	Number in College:
Will you apply for financial aid? Yes  No

High School Information
High School:
City:	State:    Zip:

Academic Information
GPA:	Class Rank:     Graduation Date:
PSAT:	Verbal:    Math:
SAT:	Verbal:    Math:    Verbal (SR):    Math (SR):
Achievement Scores:

Academic Honors:
Extracurricular Activities:
Academic Field of Interest:
Career Goals:
Have you applied to Amherst?     Have you visited the campus?
What schools are you considering?       First Choice   Second Choice   Others

Athletic Information
Height:     Weight:    Position: Off Def: Speed: 40y 100m       Strength: BenchSquat Jersey #: Color:(H)       Color:(A) Athletic Injuries: Specialties: Honors: HS Coach:   Coach's Phone:     School   Home
Other Sports  -   Sport 1:     Position:   Sport 2:     Position:
Which sport(s) do you plan to play in college?