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Prospective Student-Athlete Questionnaire
Please complete the following form.
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
Sport
Men's Basketball
Women's Basketball
Cross Country
Football
Men's Golf
Women's Golf
Women's Soccer
Softball
Men's Tennis
Women's Tennis
Track & Field
Volleyball
Wrestling
Personal/Family Information
Name:
Address:
City, State and Zip:
Home Phone:
Cell/Other Phone:
Email Address:
Birthdate (mm/dd/yy):
Father's Name:
Occupation
Employer:
Business Phone
Alma Mater
Mother's Name
Occupation
Employer
Business Phone
Alma Mater
Brothers and Sisters
Friends/Family who have attended the University of Tennessee at Chattanooga
Academic Information
School
Address
City, State and Zip
Phone
Counselor
Graduation Date
GPA
ACT
SAT
Class Rank
Academic Interests (major, college)
Other Schools Interested In
Athletic Information
Position
Years of Experience
Club/Summer Team
Coach
Work Phone
Home Phone
Coach's Email
Individual Honors
Individual Awards
High School
Coach
Work Phone
Home Phone
Coach's Email
Alma Mater
Your Height
Your Weight
40 Time
Individual Honors
Individual Awards
Comments or other information
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