Recruiting Questionnaire

Personal Information:



 Name:    (first)        (last)        (middle in.)

Street Address:   

City:         State:         Zip Code:      

Home Phone:         Cell Phone:   

Email Address:   

Date of Birth:   

Father's Name:         Occupation:  

Work Phone:         College Attended:   

Mother's Name:         Occupation:  

Work Phone:         College Attended:   

Siblings:   


Academic Information:



School Name:   

School Address:   

City:         State:         Zip Code:      

School Phone:         Date of Graduation:   

Guidance Counselor:       Phone:   

Coach:       Phone:   

Class Rank:         Grade Point Average:      S.A.T. - Verbal         Math:   

Academic Honors:


Academic Majors You Are Interested in:   

Do you have an application to Shippensburg University?    Yes No

Have you applied to Shippensburg University?    Yes No   Have you been accepted to Shippensburg?   Yes No

Have you completed and mailed the NCAA Clearinghouse information?   Yes No

If Yes, what date did you submit your information to the NCAA?  

Athletic Information:



Height:         Weight:         40 Time:   

Jersey Number:         Jersey Color:   

Position:   Offense      Defense      Special Teams  

College Position:   

Other Sports You Played:


Other Schools You Are Interested In: