Eastern Oregon University - Athletics & Recreation


	About EOU
	Academics & Programs
	Admissions
	Distance Education
	Students
	Faculty & Staff
	Athletics & Recreation
	Visitor Information
	Community Partners

Mountaineer Football Recruiting Form

Directions: Please fill out all sections of this information sheet. Click the send button at the bottom of the page. You will then be shown a copy of what you have sent. Hit the back button on your browser to return to this page. Your information will be forwarded to Head Coach Jim Fenwick and to EOU's New Student Program.

Personal Information

First Name	Last Name
Address
City	State Zip
Phone
E-Mail
Age	Date of Birth Year of Graduation

Academics

SAT Scores (optional):

Math

Verbal

ACT

Class Rank

of

GPA

Soc. Sec. #

Desired Field(s) of Study

School

Current School		School Phone
Coach's Name		Coach's Phone

Family Information

Father's Name	Occupation	Alma Mater
Mother's Name	Occupation	Alma Mater
Others living at home
Eastern Oregon students or alumni you know

Football Information

Jersey #	Position	Height	Weight
40 Time	Team record past three years
Honors Received
Other Sports/Position

List Your Choice of Colleges/Universities	1st 2nd 3rd
Do you plan to play football at Eastern Oregon?	Yes	No
Do you have video available?	Yes	No

Eastern Oregon University
One University Boulevard,
La Grande, OR 97850-2899
Phone: 541-962-3672
or call 1-800-452-8639 for Admissions Information

Eastern Oregon University is a member of the
Oregon University System