Recruiting Questionnaire

Email Secondary Email

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ZIP Code

Email address *

Cell Phone Number

City

Address 1

Last name *

State

First name *

Father's Name

First and last name

Father's Phone

(###) ### - ####

Father's Email

emailname@emaildomain.com

Father's Occupation

Mother's Name

First and last name

Mother's Phone

(###) ### - ####

Mother's Email

emailname@emaildomain.com

Mother's Occupation

Would you like to visit the campus?

Yes No Already Visited

Athletic Information

Sport(s) interested in participating *

check all that apply

Mens Basketball Mens Soccer Womens Basketball Womens Soccer Womens Volleyball

Position(s)

HS/College Coach Name

First and last name

HS/College Coaches Phone

(###) ### - ####

HS/College Coaches Email

emailname@emaildomain.com

Athletic and Academic Awards

Enter statistics or any additional information you would like the coaching staff to know.

Submit game film

please add link above

Scholastic Information

High School

High School Phone

(###) ### - ####

Graduation date

Date Picker

GPA

Class Rank

ACT

SAT

Intended Major

Previous College Information

College Name

GPA

Hours Passed

Years of Eligibility Left

Questions/Comments

* required field