INDIANA FOOTBALL QUESTIONNAIRE
INDIANA FOOTBALL QUESTIONNAIRE
* denotes required field
 
 
Personal Information
Graduation Year *
First Name * Middle Name
Last Name * Preferred Name
Address * City *
State * Zip *
Social Security No Email
Home Phone Cell Phone
Birth Date Initial Eligibility Center *
Facebook Myspace
 
 
Family Information
Father's Name Father's Occupation
Father's Employer Father's Home phone #
Father's Work phone # Father's Cell phone #
Father's Email Father's College
 
Mother's Name Mother's Occupation
Mother's Employer Mother's Home phone #
Mother's Work phone # Mother's Cell phone #
Mother's Email Mother's College
 
I live with
The names and ages of my siblings are:
The best way to reach me is (choose one)
 
 
Athletic Information
off pos1 off pos2
def pos1 spec pos
squat lift 40 yard
bench 200 meter
vertical 100 meter
clean lift 400 meter
Height ft in Weight
Jersey Number Other Sports
My academic interests are:
My online video link is:
 
Scholastic Information
School State *
Choose your School
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School Type
School Name School Address
School City School ZIP
School Phone School Fax #
Counselor's First name Counselor's Last name
Coach's First Name Coach's Last Name
Coach's Work Phone Coach's Home Phone
Coach's Cell Phone
 
GPA ACT
SAT Math SAT Written
SAT Verbal
 
 
General Information
My top priorities in choosing a college are:
1. 2. 3.
The students and alums I know are:
My favorites hobbies are:
The person that will help me choose a college is: Cell phone:
The 5 schools I plan to visit are:
1. 2. 3. 4. 5.
Reason
 
 
Transcript Release
I authorize the release of my transcript and test scores to INDIANA.