Prospective Student-Athlete Questionnaire
PERSONAL INFORMATION
NCAA Eligibility Center ID#:
Student-athlete Name (first/middle/last/nickname):
Date of Birth (mo/da/yr):
Address:
City/State/Zip:
Home Phone and Cell Phone:
Student-athlete E-mail:
Personal Interests:
Volunteer Service:
Parent’s or Guardian’s Name(s):
Parent’s or Guardian’s College(s) Attended:
Parent’s or Guardian’s E-mail:
HIGH SCHOOL INFORMATION
Address:
City/State/Zip:
Current Year (Fr/SoJrSr):


GPA: 


Class Rank:
SAT Scores (Reading/Writing/Math): 





ACT Score:
Academic Achievements and Awards:
HS Counselor’s Name:
HS Counselor’s Phone #:
HS Coach’s Name:
HS Coach’s Phone # / Cell #:
Other Coach’s Name:
Other Coach’s Phone # / Cell #:
ATHLETIC INFORMATION
Jersey Number: 

Jersey Color:



Years on Varsity:
HGT: 

WGT:

Dominant Hand/Foot:
Primary Sport / Position:
Other Sport(s) / Position(s):
Speed - 40yds: 

55m:


100m:


Other:
Strength - Bench: 

Squat: 

Power Clean: 

Other:
Agility - Vertical Jump: 

Broad Jump:
Athletic Achievements and Awards / Personal Records:
PRIORITIES FOR CHOOSING A COLLEGE
Region (Mid-Atlantic/Northeast/South/Midwest/Southwest/West/All) Select One:
Academic Major(s):
Size (Under 5,000 / Under 10,000 / Over 10,000 / Over 20,000):
Division (I, II, III, NAIA, JC) Select All That Apply:
COLLEGES UNDER CONSIDERATION
Top Choices:
Others:
FINANCIAL AID INFORMATION
Have you applied for financial aid?: 

If Yes, When?:
VIDEO AND PHOTOS
Do you have quality game or workout footage?:

If yes, please upload it.
Do you have a headshot?:
Do you have an action Shot?:
If yes, please upload them.
REFERENCES
Academics (Provide Comment / Reference Name / Relationship to Student-athlete):
Athletics (Provide Comment / Reference Name / Relationship to Student-athlete):
Character (Provide Comment / Reference Name / Relationship to Student-athlete):