MUHLENBERG COLLEGE FOOTBALL
2400 CHEW STREET
ALLENTOWN PA 18104
PH. 484 664-3385/3390/3395
FAX 484 664-3035
PERSONAL INFORMATION
Last Name:
First:
Initial:
Year of Graduation:
Address:
City:
State:
Zip:
Home Phone:
E-mail:
Cell Phone:
Birth Date:
Ethnicity:
Father's Name:
Father's Occupation:
Mother's Name:
Mother's Occupation:
Parents are:
Married
Divorced
Other
I live with:
Both
Mother
Father
Other
Brothers' and Sisters' Names:
SCHOLASTIC INFORMATION
School:
School Phone:
School Address:
City:
State:
Zip:
Counselor's Name:
Counselor's Phone:
Overall G.P.A.
Scale
Class Rank:
/
College Major:
PSAT: V
M
SAT: V
M
E
SAT: V
M
E
ACT:
FOOTBALL INFORMATION
Height
ft
in Weight
lbs.
40 Time
sec Pos:Off
Def
Jersey Number
Jersey Color
Team Captain
Yes
No
Specialist:
Kicker
Punter
Long Snapper
Punt Returner
Kickoff Returner
Honors
Other Varsity Sports
Football Coach
Home Phone
Muhlenberg Student or Alumnus You Know: Name/Relationship