Farmingdale State Prospective Student-Athlete Form

Men's Basketball
Contact Coach Erik Smiles for more information - 631-420-2079 or smilese@farmingdale.edu

Please complete the following information and press the Submit button below.

 

First Name:

M I:

 

Last Name:


Home Address:


City:

State:

Zip:


Country: 

 E-Mail: 


Home Phone:

   Cell Phone: 


Date of Birth:

Age:

 Height:

 Weight:


Social Security #:


High School/College/Club:

Year of Graduation: 


H.S. Coach Name:


Office Phone:

Home Phone:


Grade Point Average:

 

College Board Exam Scores

SAT I: Verbal

Math:

 

 ACT: Composite

 

TOEFL:


Have you applied to Farmingdale State?          Yes       No


Intended major:

 

Please indicate any information relative to your athletic performance (i.e., Track Events, Best Performances, Honor/Awards, etc.)

If possible, please forward these items to the address and head coach listed below:

 

         -          Letter of recommendation from your coach

         -          Game Schedules

         -          Video of athletic performance 

         -          Any other information you feel is important to evaluate your athletic performance

Farmingdale State College
Athletics Department
2350 Broadhollow Road � Nold Hall
Farmingdale, New York 11735