Athletics Questionnaire

The following form is for prospective student-athletes who are interested in participating in intercollegiate athletics at Caldwell College. The information submitted below will be sent to the Department of Athletics and directed to the appropriate coaching staff. This questionnaire will assist the coaches in your recruitment.

Personal Information

First Name

Middle Name

Last Name

Birth Date

Email Address

Gender

Sport:

Are you transferring from another college?

I plan to attend beginning

My intended program of study is

My intended concentration (if applicable)

Permanent Address

Street Address

City

State

Zip Code

Country

County of Residence

Home Phone Number

Cell Phone Number

Are you a US citizen?

If not a U.S. Citizen, Visa Type

High School

Last high school attended

City/State

High School Phone Number

Year of Graduation

Post High School

Please list all colleges or universities you have attended

Name(s) of College/University

City/State

Academic Information

Highest SAT Scores: M
CR
W



ACT:

High School GPA:

High School Class Rank:

Are you registered with the NCAA Eligibility Center?

Academic Awards:

Athletic Information

Height:

Weight:

Position

High School Coach
Phone Number
Email



Club/AAU Team

Club/AAU Coach
Phone Number
Email



Other Varsity Sports Played

Athletic Awards (all-conference, all-county, school records, letters, etc.)

Parent/Guardian Information

First Name

Middle Name

Last Name

Street Address

City

State

Zip code

Home Phone

Work Phone