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