First:		M.I.		Last:		Nickname:
International Address? Yes   No						Email:
Address: City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Phone: Cell: Zip Code:
Address: City: Country: Phone: Cell: Postal Code:
Fahter's Information First Name: Last Name: College: Occupation: Phone:   Mother's Information First Name: Last Name: College: Occupation: Phone:
Parents are: Married   Separated   Divorced				Live With: Both   Mother   Father
Hobbies: 1.     2.     3.
Name of the most influential person in your life:
What interests your most about Carroll?   Family/Friends in Helena?   Family/Friends at Carroll:

School Name:		SchoolType:	H.S.   Junior College   College
International Address? Yes   No
Address: City: Counselor: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip: Grad. Year:
Address: City: Counselor: Country: Post #: Grad. Year:
Planned course of study in college:		GPA:
SAT Scores:   Verbal: Math: Writing: (PSAT if you haven't taken SAT)
ACT Scores: Score: Reasoning:

Select Sport: Cross Country (M/W) Football Golf (M/W) Men's Basketball Track and Field (M/W) Women's Basketball Women's Soccer Women's Volleyball

Please fill out all areas of this form including "Personal, School and Athletic Information" tabs.