Last Name*

Address*

City*

State*

Zip Code*

Email*

Telephone Number

Academic Information
High School*

Graduation Year*

Estimated GPA

ACT/SAT Score

Academic Interests

Clubs/Organizations/Awards

Cheerleading Information
Main Stunt Position (choose one):
Non-Mount
Base
Fly
Spot

Standing Tumbling (Check all that apply):
None
Back Handspring
Back Tuck

Power Tumbling (Check all that apply):
None
Back Handspring
Back Tuck
Layout
Full Twist

Height:

Are tapes available:
Yes
No

Have you applied to Wayne State University?
Yes
No

Coach's Information
Coach's Name:

Coach's Phone Number:

Coach's Email: