Full Name:
Prefer to be Called:
Street Address:
City: State: Zip Code:
Email Address:
Telephone:

Graduation Date:
Date of Birth:

Father's Name:
Mother's Name:
Check if parents are:
Divorced Separated
If so, with whom do you live?
Father Mother

High School:
CEEB Code:
School Address:
School Telephone:
Guidance Counselor's Name:
High School GPA: Class Rank: Class Size:
ACT Composite: SAT Verbal: SAT Math:
Academic Awards/Honors:

Intended Major:
Other Schools You Intend To Apply To:

Do you intend to apply for financial aid?
Yes No
Will you apply to the Conservatory of Music?
Yes No

Coach's Name:
Coach's Home Telephone:
Coach's Work Telephone:
Years On Varsity:
Positions Played:

Height: Weight:
100-Yard Dash Speed:
40-Yard Dash Speed:

Summer Camps/Club Teams (name/year):

Athletic Honors/Award:

Do you plan to play another varsity sport at Oberlin?
Yes No
If yes, which sports?: