Steps-Ahead

 

Name:________________________________ Date:___________

Address:_________________________________________

City:_______________ State:_________________ Zip:__________

Telephone:__________________ Alt:___________________

Email:________________________________

High School or Junior College:_____________________________

Grade Level:______________

Sport:____________________________

Head Coach:___________________ Telephone:_______________

Year of Graduation:___________

Steps-Ahead assists Students Athletes with Disabilities

Overall GPA:________ Core GPA:________

SAT Score:_______ ACT Score:_______

Registered with NCAA Eligibility Center?: Yes___ No___

Educational Goals:________________________________

Athletic Goals:____________________________________

AUTHORIZATION

Upon entering into an agreement with Steps-Ahead the authorization of the student-athlete 18 and over or parent/ guardian will be needed.  Copy form to word document and print.