PROSPECTIVE STUDENT-ATHLETES


* This form is NOT an official university application.

** This form will be used by the athletic department to help determine prospective student-  
     athletes.

NCAA Rules prohibit coaches from contacting freshmen and sophomores in high school.  No recruiting materials may be sent to a prospect until September 1st of the athlete's junior year.  Coaches are prohibited from phone calls or in-person off campus visits to high school athletes until after June 15 of the summer preceding the athlete's senior year.

*Please note that BOLD fields are required*

Personal Information

First Name:

Last Name:

Middle Initial:

Date of Birth:

Home Address

Street:

Street 2:

City:     

State:      Zip Code:

Phone Number:

E-mail Address:


Academic Information

School Currently Attending:

Date of Graduation:

Class Rank:      

Number of students in class:

SAT     Date Taken:

Total Score:

Verbal:      Math:

ACT     Date Taken:

Sum Score:


Have you registered with the NCAA Eligibility Center?    Yes     No

Have you applied to Molloy College?     Yes     No

Academic Program Desired at Molloy College:

BA/BS Major

 Accounting                                                     
 Art                                                                  
 Biology
 Business Management
 Communications Arts
 Computer Information Systems
 Computer Science
 Criminal Justice
 Education (for a full list of Education majors, please visit   
                        http://www.molloy.edu/academic/edu/)
 English
 Environmental Studies
 Health Service Leadership
 History
 Interdisciplinary Studies
 International Peace & Justice Studies
 Mathematics
 Music
 Music Therapy
 Nursing
 Philosophy
 Political Science
 Psychology
 Sociology
 Social Work
 Spanish
 Speech Language Pathology/Audiology
Theatre Arts
Theology
Undeclared


Athletic Information

Main sport you are interested in at Molloy College:

 Baseball
 Basketball (Men)
 Basketball (Women)
 Cross Country (Men)
 Cross Country (Women)
 Lacrosse (Men)
 Lacrosse (Women)
 Soccer (Men)
 Soccer (Women)
 Softball
 Tennis (Women)
 Volleyball (Women)

 
Club Team you are interested in at Molloy College:

 Cheerleading (Men)
 Cheerleading (Women)
 Dance
 Equestrian (Men)
 Equestrian (Women)



Current Coach's Name:

Current Coach's Phone Number:

Position/Event:

Height:      Weight:

Pertinent Statistics for Current Season:


Pertinent Career Statistics:


Athletic Honors (All-Conference, All-State, etc.):


Additional Honors:


Other Varsity Sports Played:


Additional Information:

Will you need financial assistance?    Yes     No

Have you filed for financial assistance?    Yes      No
Click here to go to FAFSA 


Please use the box below to enter any other information you would like to submit to the coaching staff: