Email Secondary Email

I WANT TO BE A ROARING LION

TELL US ABOUT YOURSELF

First Name *

Middle Name or initial *

Last Name *

Date of Birth *

Example: 12/12/2015

Home Address *

City *

State *

Zipcode *

Cell Phone Number *

Home Phone *

If home phone is the same as Cell. Answer: SAME

Email address *

High School *

High School year of graduation *

Other colleges/Universities *

If information does not apply answer: None

Major of Interest *

Desired Start For Penn State Fayette *

Grade Point Average

SAT Score

Sport(s): Select all that apply

Men's Sports

  Baseball
  Basketball
  Golf
  Cross Country
  Track and Field
  Wrestling

Women's Sports

  Basketball
  Cross Country
  Golf
  Softball
  Track and Field
  Volleyball

Who is submitting this information? *

  Prospective Athlete
  High School Counselor/Coach
  Parent/Guardian
  PSUFE Coach/Admin/Staff

Additional Information:

* = required field