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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
Preferred name
Address (include City, State, Zip)
E-mail address
Home phone
Cell phone
NCAA Eligibility Center Certified
Facebook page (Include link)
Myspace page (include link):
Marital Status of Parents
Not Married
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
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
Clean lift
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
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