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Football Questionnaire
Please fill out the questionnaire and the results will be mailed to assistant coach Jeff Conway.

Required Fields in Bold

 
Personal Information

First Name
 
Middle name
 
Last name
 
Address
 
Preferred name
 
Address (include City, State, Zip)
 
E-mail address
 
Home phone
 
Cell phone
 
Birthday
 
NCAA Eligibility Center Certified
 
Yes
No
Facebook page (Include link)
 
Myspace page (include link):
 
Marital Status of Parents
 
Married
Not Married
Engaged
 
Family Information

Father's name
 
Father's employer
 
Father's home phone number
 
Father's work phone number
 
Father's cell phone number
 
Father's e-mail address
 
Father's college attended
 
Mother's name
 
Mother's occupation
 
Mother's employer
 
Mother's home phone number
 
Mother's work phone number
 
Mother's cell phone number
 
Mother's e-mail address
 
Mother's college attended
 
I live with
 
Both Parents
Mother
Father
Other
If other please explain
 
The names and ages of my siblings are
 
The best way to reach me is
 
 
Athletic Information

Primary offensive position
 
Secondary Offensive position
 
Primary defensive position
 
Secondary defensive position
 
Special teams position
 
40 yard time
 
100 meter
 
200 meter
 
400 meter
 
 
Pro Agility
 
Squat lift
 
Bench
 
Vertical
 
Clean lift
 
Height
 
Weight
 
Jersey number
 
What other sports do you play?
 
My academic interests are:
 
My online video link is:
 
 
Scholastic Information

School Name
 
School State
 
Overall GPA
 
ACT score
 
SAT Math score
 
SAT written score
 
SAT verbal score
 
 
General Information

My top three reasons for choosing a college are:
 
The students and alums I know are:
 
My favorite hobbies are:
 
The person who will help me choose a college is:
 
That person's cell phone number is:
 
The five schools I plan to visit are:
 
 
Transcript Release

I authorize the release of my transcript and test scores to SHSU
 
Yes
No
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