Prospective Athlete Questionnaire
Prospective Athlete Questionnaire - Football
PERSONAL INFORMATION
Full Name:
Graduation Year:
Address:
City:
State:
Zip:
Cell Phone or
Other Phone:
Birth Date:
Father's Name:
Occupation:
Mother's Name:
Occupation:
Have any members of your family or friends attended Wartburg?
No
Yes
If so, who and when?
OPTIONAL ITEMS BELOW
Religious Preference:
Ethnic Origin:
ACADEMIC INFORMATION
High School:
HS Conference:
GPA:
Guidance Counselor:
ACT or SAT Score:
Class Rank/Out Of:
Interest in Wartburg:
Select below...
High
Moderate
Low
Intended Major
in College:
What other colleges are you interested in?
ATHLETIC INFORMATION
High School Coach:
Coach's Phone:
Are you a transfer student?
No
Yes
If a transfer, what school?
Coach at previous college:
Coach's Phone:
SPORT-SPECIFIC INFORMATION
Honors in Football:
Offensive Position:
Defensive Position:
Specialist:
Years Lettered:
Years as a starter:
Team's W-L Record Senior Year:
Height:
Weight:
40-yard Dash Time:
Jersey Number:
Preferred College Position:
Other high school sports:
Contact E-mail
(REQUIRED)
:
E-mail Use:
Often
Rarely
Never
Wartburg College
100 Wartburg Blvd.
Waverly, IA 50677
(800) 772-2085
