Athletic Interest Questionnaire

I am inquiring as a prospective
Choose... Freshman Transfer

Age

Your Sport
Choose... Women's Basketball Men's Basketball Volleyball Women's Soccer Men's Soccer Baseball Softball Men's Golf Women's Golf Cross Country Track & Field

First Name

Last Name

Mailing Address (include PO Box or apartment number if applicable)

Mailing Address Line 2

City

State/Province

ZIP or Postal Code

Phone number
() -

E-mail address

Highshool Graduation Date (MM/YY)

Height (e.g. 5ft 10in

Weight

Father's Name

Father's Occupation

Father's Education

Business Phone/e-mail

Mother's Name

Mother's Occupation

Mother's Education

Business Phone/e-mail

Brothers and sisters (Names/Ages)

High School

Address

City

State or Country

Zip Code

Guidance Counselor

Phone Number

GPA

SAT I Verbal

SAT I Math

ACT (composite)

Intended Major

High School Coach

Phone/e-mail

Club Coach

Club Team

Phone/e-mail

If you are a transfer student, list the college/s you have attended

College

College Coach

Phone/e-mail

College 2

College Coach

Phone/e-mail

Please list your primary position(s)/events(s)

Please list your individual best career, season, or game statistics or scores

Please list any specific honors or awards you have received or any records you hold

Please list you one specific best sports performance

Do you know anyone who has attended Concordia University?

Do you know anyone who is currently attending Concordia University?

Why are you interested in Concordia University?

List the top three universities of your choice.

(In order of preference - include Concordia University if appropriate)