Chosen One Sports
"An investment in your future.”
If So, How many Married Married I live with
Single
Divorced
Birth date: Father’s Name Occupation
Mother’s Name Occupation Father’s Work #
Mother’s Work # Mother’s Work#
College They attended
Church Affiliation Best Friend Name Phone #
Siblings Yes If So, How many
No
SAT Scores V M ACT Score H.S GPA Year of H.S. Graduation Possible College Major
Academic Honors Clubs—offices, ETC
Graduation Counselor Office#
Scholastic Information
College School colors School Name
School Address:
City State zip code
Name of junior College Date of first in enrollment
Were you a high school qualifier ? Yes
J c Head Coach Office #
Address
Athletic Information
Height Weight speed-40 yard dash 100 meter
Vertical jump Bench press Squat
Athletic injuries
Was surgery required Yes If so what type
Athletic Honors
Sports participation Football Baseball basketball track Other (List all sports & extracurricular activities that you have participated in or able to play)
Head Coach Office #
Coach Phone # College Attended
Positions played Preferred position Jersey #
Specialties
Applicant Profile
Personal Information
Full Name
Last
First
Address:
MI.
Date:
Do you have game tape/Highlight film? Yes
Do you have medical/accident insurance? Yes If so list
Have you filled out financial aid forms? Yes
List the Top “6” choices of where you would like to attend school:
1. 2. 3.
4. 5. 6.
Athletic Questionnaire
Home Phone: Cell Phone: Work Phone:
E Mail: Age: Do you Have any children Yes No
Street Address:
Apartment Unit#
City State zip Code