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Online Questionnaire

Personal Information:
Today's Date: Please use MM/DD/YYYY format
Name: First: Middle: Last: Social Security #:
Address: Street: City: State: Zip: Country:
Phone #: Cell Phone #:
Email: Birthdate:
Sex: Church Affiliation:
Entering Semster:               Year: Intended Major:
School Information    
Last School Attended Type:
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:
     

Golf Information:
Average Score :   Weight:            Height: ' "         
Handicap :  
Please List your Top 5 Scores:
1:            2:            3:            4:            5:           
Coach's Name: Coach's Phone #:
Coach's Email:

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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