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Online Questionnaire

Personal Information:
Name: First: Middle: Last: Social Security #:
Address: Street: City: State: Zip:
Phone #:
Email: Birthdate:
Birth Place: Church Affiliation:
Entering Semster:               Year:    
Major:    
School Name: School Phone #:
School Address:       Street: City: State: Zip: ACT Score:        SAT Score:
Graduation Date: GPA: Class Rank:
Counselor's Name: Counselor's Phone #:

Parents:

      
Father's Name First: Last: Mother's Name: First: Last:
Father's Occupation: Mother's Occupation:
Work Number for parent:    

Football Information:
Offensive Position: Defensive Position:
Weight:            Height: ' "          40:
Bench:
Squat:             Clean:
Film Available:  
Jersey #:  
Coach's Name: Coach's Phone #:
Coach's Alma Mater: Other Athletic Phone #:

Additional Information:
Personal Goals: Athletic Honors:
       
Serious Injuries: Which other sports do you participate?

     
KWU Student(s) you know: KWU Alumni you know:
   

 
   
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