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Information Form

The purpose of this questionnaire is furnish information for our files. It does not obligate you in any way or affect your performing eligibility.

Personal Information

Name:
E-MAIL Address:
Street Address:
City: State: ZIP:
Home phone: Date of birth(mm/dd/yyyy):  
Age: Height:   Weight:
Parent's name(s):


Scholastic Information

School Currently Attending:  
High School Junior College 4 year College/University High School Classification: 5A   4A   3A   2A   1A  Private Other
Date of your graduation:
Grade point average:   Class rank:
ACT:   SAT:
Intended Major:


Athletic Information

Coach:    Coach's phone:
Position on offense:    Position on defense:
Jersey number:    Average 40 time:  
Vertical leap in inches:  Bench press:  Squat:
Best games played:
Football honors:
Other sports in which you compete:
Explain any injuries incurred in sports:

Have you registered with the NCAA Initial-Eligibility Clearinghouse?
Yes No

If NO, contact your guidance counselor, who can obtain materials, at no cost, by calling the Clearinghouse at 319-337-1492. Registration with the NCAA Clearinghouse can also be done at www.ncaaclearinghouse.net. Also, when taking the SAT and ACT, scores can be sent to the clearinghouse by putting the clearinghouse's institution code "9999" in the box when registering to take the tests.

 

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