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Recruiting Questionnaire


PERSONAL INFORMATION
Last Name: First:   Initial:
Year of Graduation:  
Address:
City: State:   Zip:
Home Phone: E-mail:
Cell Phone:    
Birth Date: Ethnicity:
Father's Name: Father's Occupation:
Mother's Name: Mother's Occupation:
Parents are: Married   Divorced   Other
I live with: Both   Mother   Father   Other
Brothers' and Sisters' Names:
SCHOLASTIC INFORMATION
School: School Phone:
School Address:
City: State:   Zip:
Counselor's Name: Counselor's Phone:
Overall G.P.A. Scale Class Rank: /
College Major:
SAT: V M E
ACT:
FOOTBALL INFORMATION
Height ft in   Weight lbs. 40 Time sec   Pos:Off Def
Jersey Number     Jersey Color
Team Captain Yes No
Specialist: Kicker Punter Long Snapper Punt Returner Kickoff Returner
Honors Other Varsity Sports
Football Coach Home Phone
Coach Cell Phone Coach E-mail
Muhlenberg Student or Alumnus You Know: Name/Relationship
Film Link