Prospective Student-Athlete Questionnaire

Personal Information

Your full name

Graduation Year

Sex:
Male.
Female.

Cell Phone

Home Phone

Email Address

Date Questionnaire Completed

Address

City

State

Zip

Height

Weight

Birth Date

Age

Father's Name

Occupation

Employer

Mother's Name

Occupation

Employer

Brothers/Sisters

Number Currently In College

Atheletic Information

List Favorite Events and Best Marks. Please Include Distances and Best Times:
1.
2.
3.

Places in State Meet / Event:
1.
2.
3.

Best Cross Country Times / Place in State / Foot Locker Meets:
1.
2.
3.

Academic Information

High School

School Phone

HS Address

HS Coach

HS Coach Phone

HS Coach Email

Counselor

Counselor Phone

GPA:

ACT:

SAT-V:

SAT-M:

SAT-Total:

TOEFL:

Major Academic Interests:
1.
2.

Are you enrolled in the NCAA Eligibility Clearinghouse? Choose One:
Yes
No
(If no, please see your guidance counselor immediately to register)

How interested are you in Boston University? Choose One:
Strongly Interested
Interested
Not Interested
Need More Information to Say

Approximately what amount do you think your family will be able and willing to contribute to your education? Choose One:
$0
$10,000
$15,000
$20,000
$25,000
$30,000
$35,000
$40,000
$45,000
$50,000

Other colleges you are applying to:

Feel free to include any more information that you think would help the Boston University coaching staff better assess your talents and abilities:

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