Football Recruit Questionnaire

Please complete each section below. An e-mail address is required to properly process this form. Upon form submission, you will be taken to a confirmation page with a link to the Urbana University homepage.

PERSONAL INFORMATION

Last Name: First Name:

If coming for a recruiting visit, please fill in the date and number of guests attending here:

Email (required):
Birth Date: Social Sec. #
Street Address: City:
State: ZIP:
Mother's Name: Father's Name:
Parents' Occupations 
Parents' Colleges        
Cell Phone:    
Home Phone: Best Time to Call  
What are your main factors in selecting a school?

What other colleges are you interested in? 

Have you applied for financial aid? Yes    No Do you know anyone who currently attends UU?   Yes    No

If yes, who?

SCHOLASTIC INFORMATION

School: Phone:
Street Address: City:
State: ZIP
Enrollment: Counselor:
GPA ACT/SAT Class rank/size
Graduation Year: Possible College Major(s):
Academic Honors: 

 ATHLETIC INFORMATION

Coach's Name: Phone: Cell Phone:
Height: Weight: Jersey #
Offensive Position Defensive Position
Special Teams Preferred
40 yd. Shuttle Run Bench
Squat Cleans Vert. Jump
Do you play any other sports?
Honors, Awards:
Hobbies & Interests:
Strongest part of your game

Other information/comments

Urbana University 
Office of Intercollegiate Athletics
579 College Way
Urbana, OH 43078
(800) 7-URBANA
All rights reserved.
 

Please send comments to: webmaster@urbana.edu