Prospective Questionnaire
FOOTBALL

NCAA Division III Playoffs: 1988, 1989, 1990, 1997, 2005
ECAC Champions: 1991, 1992, 1994, 2002
ECAC Playoffs: 1995, 2003, 2006, 2007

First Name:
Last Name:
Age:
Date of Birth:
E-mail:
Home Phone:
Cell Phone:
Street Address:
City:
State:  Zip:
Name of Parent or Guardian:
Parent Occupation:


ACADEMIC
High School:
Street Address:
City:
State:   Zip:
School Phone:
Guidance Counselor:
Present Class in School:
SAT: (math)   (writing)   (critical reading)
ACT:
Grade Point Average:
Class Rank (xx of xxx):
Intended Major:
Transfer Prospects
Select One:
Grade Point Average:
TPcredit:
College(s) attended:
Year of High School Graduation:
Year of Jr. College Graduation:


ATHLETIC
Height: ft inches
Weight:
High School Coach:
Other Sports You Compete In:
Coach's Home Phone:
Coach's Work/School Phone:
Coach's E-mail:
Individual Athletic/Academic Honors Won:
List any serious injuries:


Primary Position:
Secondary Position:
Tertiary Position:
Preferred College Position:
Team Colors:
Home Jersey Number:
Road Jersey Number:
40-yard dash time:
(1) If you are PRESENTLY a High School student, then select your New York High School Section.
(2) If you are PRESENTLY at a 2-year or 4-year college, then select Transfer.
(3) If you are neither of these, then select Other

PROSPECT CODE: