Football Prospective Player Questionnaire: Mercer University Athletics

MERCER FOOTBALL PROSPECTIVE PLAYER QUESTIONNAIRE
Please fill out form as completely as possible

*required field

Personal Information

*Name:
Cell Phone:	Home Phone:
E-Mail:	Date of Birth:
Address:
City:	State:	Zip:

Family Information

Father's Name:		Occupation:
Address, City, State, Zip (if different):		Father's E-mail:
Father's Phone
Mother's Name:		Occupation:
Address, City, State, Zip (if different):		Mother's E-mail:
Mother's Phone:

Siblings/Relatives You Live With (include name, age & relationship of each):

Academic Information

High School/Prep School Name:
HS Address:
HS City:	HS State:	HS Zip:
HS Phone Number:	Graduation Year:
HS Counselor's Name:
Core Grade Point Average:
SAT Overall Score:	SAT Math Score:
SAT Written Score:	SAT Reading Score:
ACT Composite Score:

List any other high schools you attended (with address and grade point average there):

Are you registered with the NCAA Clearinghouse? Yes No

What are your top 3 choices as a possible academic major?
1. 2. 3.

Transfer Students Only

List All Other Schools Attended (in order, most recent first)

School                        Location                          GPA & Credits              Years Attended






Football Information

HEAD COACH:
HEAD COACH'S OFFICE PHONE:
HEAD COACH'S CELL #:
HEAD COACH'S E-MAIL:

YOUR ACTIVITIES/HOBBIES:

OTHER SPORTS PLAYED:

HEIGHT:
WEIGHT:
40-TIME:
JERSEY #:
OFFENSIVE POSITION:
DEFENSIVE POSITION:

ATHLETIC HONORS:

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