This page requires JavaScript to be enabled on your browser.
Please enable JavaScript and then reload this page.
Personal Information
Prospect Code:
Grad Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
Date Filled Out: *
First Name: *
Last Name: *
Middle Name:
Date of Birth: *
City: *
Address: *
Zip: *
State: *
AL
AK
AR
AS
AZ
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AB
AE
BC
DC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
UN
YT
PR
VI
Home Phone: *
Email: *
Mobile Phone: *
Father:
Occupation:
Father Cell:
Father email:
Father College Attended:
Mother:
Occupation:
Mother Cell:
Mother Email:
Mother College Attended:
Siblings Name and Age:
Friends or Relatives that have attended or currently attend Southern Miss:
Academic Information
High School: *
High School Address: *
High School City: *
High School Principal:
High School State: *
High School Zip: *
High School Phone: *
Cumulative GPA: *
ACT:
SAT:
Test Date:
Academic Honors:
College Major Desired: *
Registered with Clearinghouse: *
Yes
No
NCAA Eligibility Number:
Class Rank:
Athletic Information
Height:
ft.
in.
Weight:
Home Course:
Home Course Phone:
Head Professional:
Swing Instructor:
Swing Instructor Phone:
List your 5 greatest golfing accomplishments: *
List 5 things influencing your college decision: *
List the 5 colleges you have the greatest interest in attending and your reason for interest: *