Recruiting Questionnaire

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First Name:

Last Name:

Street Address:

City:

State:

Zip:

Email address *

Home Phone:

Cell Phone:

Height:

Weight:

Date of Birth:

Married:

Yes No

Father's Name:

Occupation:

Mother's Name:

Occupation:

Would you like to visit the campus?:

Yes No

High School:

School Phone:

Graduation Year:

GPA:

Class Rank:

ACT:

SAT:

College Course of Interest:

College Name:

GPA:

Hours Passed:

How many years of eligibility do you have left?:

Name of High School Coach:

Coach's Phone Number:

Athletic and/or Academic Honors/Awards:

Are game/match tapes available?

Yes No

* required field