Prospective Student-Athlete Questionnaire

Personal Information

First Name
Last Name
Age
Date of Birth
  
Address
City
State
Zip
Home Country
  
Home Phone
Cell Phone
Email
  
Motherís First Name
Motherís Last Name
Motherís Email
Motherís Work Phone
Motherís Cell Phone
Motherís Alma Mater
Motherís Occupation
  
Fatherís First Name
Fatherís Last Name
Fatherís Email
Fatherís Work Phone
Fatherís Cell Phone
Fatherís Alma Mater
Fatherís Occupation

Academic Information

HS Name
Graduation Year
HS Address
HS City
HS State
  
Zip
HS Phone
HS Fax
Class Rank
Grade Point Average/Scale
ACT
SAT Total
Intended Major

Current USD Students

If you are a current USD student,
please provide your student ID#
Year at USD

Transfer Students

If you are a transfer student, please provide your current College/University information:

College/University Name
Address
City
State
Zip
Phone
Fax
Year

Athletic Information

HS Team Type
HS Coachís First Name
HS Coachís Last Name
HS Coachís Email
HS Coachís Cell Phone
HS Coachís Work Phone
Please list Dance, Pom, Cheer, Gymnastics Experience:
  
Please list coach/teacher references:
  
Athletic Honors/Accomplishments:
  
Other Sports Played: