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Athletics Recruiting Questionnaire


Sport(s) interested in playing:
Baseball
M Basketball
W Basketball
Football

M Soccer
W Soccer
Softball
W Volleyball

Personal Information

Name
Last
First
M.I.
E-mail
Address
Street
City
State
Zip
Home Phone #
--
Cell Phone #
--
Birthdate ex. (11/15/1985)

Father's
Last
First
M.I.

Mother's
Last
First
M.I.


Have you applied for federal financial aid?YesNo  Did you qualify?YesNo

Scholastic Information

Year of Graduation    HS Grade Point Average

SAT

V M ACT Other

Academic Honors Received


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Possible College Major

1)  2) 

High School
Phone #
--
Address
Street
City
State
Zip

NCAA Clearing HouseYesNo

Athletic Information

Position(s) Played
Uniform Number(s)
Athletic Honors Received

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High School Coach
Last
First
M.I.
   Contact Phone #
   --

Non-school/Club Coach(Other reference)
Team Organization
Phone #
--

Other sports played

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List any serious injuries

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Surgery Required?YesNo

Key Statistics

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or Attach Stats document (5MB limit):

List links to recruiting videos if any


Please type the characters in the image



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