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Chattanooga Football Questionnaire
Please complete the entire questionnaire The completion of this form does not commit you to the University of Tennessee at Chattanooga.
This form is for informational purposes only. All information will be kept confidential.

Required Fields in Bold
 
Personal Information
Name
 
Address
 
City
 
State
 
Zip Code
 
Home Phone
 
Cell Phone
 
E-Mail Address
 
Date of Birth (mm/dd/yyyy)
 
Height
 
Weight
 
NCAA Clearinghouse #
 
Mother's Name
 
Mother's E-Mail Address
 
Mother's Occupation
 
Mother's Alma Mater
 
Father's Name
 
Father's E-mail Address
 
Father's Occupation
 
Father's Alma Mater
 
 
Academic Information
High School
 
School Phone Number
 
School Address
 
 
High School
 
School City
 
School State
 
School Zip Code
 
School Website
 
GPA
 
Year of Graduation
 
SAT Total Score
 
SAT Verbal Score
 
SAT Math Score
 
ACT Total Score
 
Are you currently in a dual enrollment program
 
 
Athletic Information
Do you have a highlight video available?
 
High School Coach
 
High School Coach's Phone
 
High School Coach's E-Mail Address
 
High School Uniform Number
 
High School Team Honors
 
High School Individual Honors
 
Primary Postion (High School)
 
Secondary Position (High School)
 
40-yard dash time
 
 
Other Information
Reason for your interest in Chattanooga
 
What level of interest do you have in Chattanooga?
 
What major area of study are you interested in?
 
Do you have any friends or family at Chattanooga? If so, who?
 
Other schools you are interested in
 
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