Recruiting Questionaire





Name (First and Last) *

Address *

City *

State *

ZIP *

Home Phone *

Cell Phone *

Email Address *

Instant Messenger ID

Birthdate (Month/Day/Year) *

Father’s Name *

Father’s Occupation

Mother’s Name *

Mother’s Occupation

Are you willing to leave your current state or geographical area to attend college? *
 Yes 
 No 
High School *

High School Phone *

High School Fax

High School Coach’s Name *

Height *

Natural Weight *

Desired College Weight Class *

State Placing in HIgh School (Fr./So./Jr./Sr.) *

Career High School Record (Fr./So.Jr./Sr.) *

National Placing/Honors *

Graduation Year *

Cumulative GPA *

Potential College Major

ACT and/or SAT *

Have you applied to the NCAA Clearinghouse? *
 Yes 
 No 
Anticipated area of study *

Guidance Counselor

Guidance Counselor Phone