Name: (last) (first) (MI)

Nickname:

Address:

City :

State: Pick One AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY

ZIP Code:

Phone Number:

E-mail Address:

Age:

Birthdate (mm/dd/yy):

High School:

Phone:

School Address:

(If boarding school) room phone:

Father's Name:

Occupation:

Mother's Name:

Occupation:

Brother's Name(s):

Sister's Name(s):

Grade-point average:

Class rank:

PSAT:
Verbal:
Math:
CR:

SAT (Jr.):
Verbal:
Math:
CR:

SAT (Sr.):
Verbal:
Math:
CR:

Please note, standardized test scores are not required to apply to Hobart and William Smith Colleges.

Graduation date:

Desired coursed of study college:

Are you interested in applying to Hobart?: yes no no

Have you applied already?: yes no no

Will you be applying for financial aid?: yes no no

What other schools are you interested in?:

Number of varsity letters in squash:

Position on team:

Tournaments, rankings and/or honors won:

Coach's name:

Coach's home phone:

Other sports played: