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Tryout Information Sheet

If you will be trying out via video, copy and paste the following in to a word processing program. Complete the form, print it out and send it in with your video tryout. If you will be trying out in person, it is recommended that you email this completed form to Richard Varnon before you arrive for tryouts. Copy and paste the following and email to varnonr@wbu.edu.

PLEASE USE ADDITIONAL SHEETS AS NEEDED

PERSONAL INFORMATION (Used to verify enrollment)

SOCIAL SECURITY NUMBER ______ - ____ - _________

BIRTHDATE ____/____/____

AGE ______

FULL NAME:

PRESENT ADDRESS:____________________________________

CITY: __________________ STATE: _________ ZIP: __________

PHONE: (______)______________

CELL/PAGER: (______)______________

E-MAIL ADDRESS: _______________________________________

PARENT'S INFORMATION

MOTHER'S NAME: _________________________

FATHER'S NAME: _________________________

MOTHER'S OCCUPATION: ___________________

FATHER'S OCCUPATION: ___________________

MOTHER'S EMPLOYER: _____________________

FATHER'S EMPLOYER: _____________________

HOME ADDRESS:_________________________________________

CITY: __________________ STATE: _________ ZIP: __________

PHONE: (______)______________

ADDITIONAL INFORMATION

YEAR OF HIGH SCHOOL GRADUATION: ________

SCHOOL CURRENTLY ATTENDING: HIGH SCHOOL OR COLLEGE (CIRCLE ONE)

SCHOOL NAME: __________________________

CUMULATIVE G.P.A.: _______ (BASED ON 4.0 SCALE)

SAT: Critical Reading: _______ Math: _______

ACT: ____________

IF TEST NOT TAKEN YET, DATE OF SCHEDULED TEST: __________

HAVE YOU BEEN ACCEPTED TO WAYLAND BAPTIST? _________

DATE APPLIED: ________________

DID YOU APPLY FOR FINANCIAL AID? _________

DATE APPLIED: _________________

PERSONAL HEALTH

HEIGHT: _______ WEIGHT: _______

HAVE YOU EVER HAD A MAJOR INJURY, SURGERY, CHRONIC AILMENT? IF SO, WHAT TYPE? ______________________________

HOW DID YOU HEAR ABOUT TRYOUTS AT WAYLAND BAPTIST UNIVERSITY? ( PLEASE SPECIFY) ___________________________

OTHER EXPERIENCES, AWARDS, AND ACCOMPLISHMENTS RELATED TO CHEERLEADING: _____________________________ ______________________________________________________