Prospective Student-Athlete Form - Five Towns College

The Prospective Student-Athlete Form is intended for student-athletes who are interested in joining an athletics team at Five Towns College. Your personal, academic, and athletic information will be sent to the Sports Information Director and will be forwarded to the respective coach of the sport you are interested in. You can also find the contact information for all Athletics staff through the Staff Directory in the Inside Athletics dropdown.

Personal Information

Male/Female *

Male Female

Date of Birth: *

ZIP Code *

Email address *

Cell Phone Number

Address 2

City *

Address 1 *

Last name *

State *

First name *

By giving my phone/text or email, I give my consent to FTC to contact me.

Parent/Guardian Name

Parent/Guardian Email

Parent/Guardian Phone Number

Are you a current Five Towns student? *

Yes No

Are you an international student? *

Yes No

Anticipated Start Year *

Anticipated Start Semester *

Fall Spring

What year will you be entering as? *

Freshman Sophomore Junior Senior

Anticipated Area of Concentration *

Do you intend to live on campus? *

Yes No

Academic Information

High School Name *

College Name (Transfer Students)

High School Address *

High School Graduation Year *

High School GPA

SAT Score

ACT Score

Academic Honors

Athletic Information

Sport You Are Interested In *

For Esports: What is your preferred game?

Height

Weight

Position

High School Coach's Name

High School Coach's Phone/Email

Travel/Club Team

Travel/Club Coach's Phone/Email

Career Statistics

Athletic Honors

Recruiting Website/Profile

How did you hear about Five Towns College? *

If possible, forward a letter of recommendation from your current coach, along with game schedules and/or athletic videos to jason.fiscina@ftc.edu. This information will be forwarded to the respective coach of the sport you are interested in.

* required field