Jacksonville State University - Football Recruit Questionnaire

Football Recruit Questionnaire

Prospective Jacksonville State Football Players, please complete this form and submit.

The Completion of this form does not commit you or Jacksonville State University.

First Name *
Last Name *
Preferred Name
Address *
City *
State *
Zip Code *
Home Phone *
Cell Phone
Social Security Number
Date of Birth (MM/DD/YYYY) *
Email Address *
Father's Name
Father's Alma Mater
Father's Occupation
Father's Work Phone
Mother's Name
Mother's Alma Mater
Mother's Occupation
Mother's Work Phone
Brothers and Sisters (Names and Ages)
Relatives or Friends who attended JSU
Do You Live With	Both ParentsMother FatherOther
Hobbies
Please Comment on your interest in JSU
List 5 Colleges that you would prefer if you had a choice
Who is the most influential person in your life?
ATHLETIC INFORMATION
Coach's Name
Coach's Home Phone
Coach's Office Phone
Coach's Alma Mater
Your Position: Offense
Your Position: Defense
Preferred Position
Height *
Weight *
Jersey Number
Time in 40 *
Time in 100 meters *
Previous Serious Injuries (If none, type None) *
Team Physician
Surgeries and Dates
Special Areas (Check as many that apply)	PuntPlace KickKick Returner Deep Snap
Athletic Honors and Achievements
Sports played other than football
ACADEMIC INFORMATION
Name of High School/Junior College *
School Phone *
School Address *
Counselor's Name *
Principal's Name *
Approx. GPA *
PSAT Score Verbal
PSAT Score Math
ACT Score
SAT Score Verbal
SAT Score Math
Planned College Major
High School Graduation Date
Academic Honors

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