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
  
Mother’s First Name
Mother’s Last Name
Mother’s Email
Mother’s Work Phone
Mother’s Cell Phone
Mother’s Alma Mater
Mother’s Occupation
  
Father’s First Name
Father’s Last Name
Father’s Email
Father’s Work Phone
Father’s Cell Phone
Father’s Alma Mater
Father’s 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 Coach’s First Name
HS Coach’s Last Name
HS Coach’s Email
HS Coach’s Cell Phone
HS Coach’s Work Phone
Please list Dance, Pom, Cheer, Gymnastics Experience:
  
Please list coach/teacher references:
  
Athletic Honors/Accomplishments:
  
Other Sports Played: