Men's Golf 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:
Parent's Name: Parent's Name:
E-Mail Address (required):
Birth Date:
Street Address: City:
State: ZIP:
Home Phone: Best Time to Call  

SCHOLASTIC INFORMATION

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

 ATHLETIC INFORMATION

Coach's Name: Phone:
Pro's Name: Phone:
Handicap:
Strongest part of your game

Other information/comments

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Please send comments to: webmaster@urbana.edu