First Name:
Last Name:
Address:
City:
Zip Code:
State:
Home Phone:
Cell Phone:
Email:
Gender:
Age:
Date of Birth:
Parent #1:
Alma Mater:

Occupation:
Parent #2:

Alma Mater:
Occupation:
Year of High School Graduation:
PSAT Total:

PSAT Math:

PSAT Writing:

PSAT Critical Reading:
SAT: Total:
SAT: Math:
SAT: Writing:
SAT: Critical Reading:
ACT:
SAT II:
GPA:
Class Rank (out of):
AP Courses:
Academic Honors:
Interests:
In order of preference, what other colleges are you considering?
High School
High School City, State
High School Coach's Name
High School Coach's Phone
Height
Weight
List sports and years played in high school:
Events(s)/Positions/Best Performance(s)/Athletic Honors:
Other Sports/Clubs/Experiences:
Pomona-Pitzer Students, Faculty, Staff, or Alumni You Know:
Additional Information:
School of Interest: Pitzer, Pomona, or Both: