Football Questionnaire

Personal Information:

Full Name:  Last:      First:     Middle:  

Address:  Street:     City:     State:     Zip:     

Home Phone:     Cell Phone:     E-mail:
Date of Birth:     Birthplace:     Social Security Number: 

Father's Name:       
Father's Address: (if different than above)  Street:      City:      State:      Zip:      
Father's Occupation:     Father's Employer:     
Father's Business Phone: 
Father's College Alma Mater:  
Mother's Name:       
Mother's Address: (if different than above) Street:      City:      State:      Zip:      
Mother's Occupation:      Mother's Employer:     
Mother's Business Phone: 
Mother's College Alma Mater: 

Brothers' and Sisters' Names and Ages: 

Family/Friends that have attended Ashland University: 

Who will assist you in choosing a college? 
Other Sports: 

Academic Information

High School Name:     County: 
School Address: Street:       City:       State:      Zip:       
School Phone:     Guidance Counselor: 
Head Coach:     Office Phone:     Home Phone:
Coach's Alma Mater:    Your Graduation Date:
    GPA:     Class Rank:     SAT:     ACT:
Intended major in College:     Career Goals:

Athletic Information

Height:       Weight:      40YD.      100M     Jersey#:     Jersey Color:    
Off. Pos.:     Def. Pos.:     Specialty: 

Transcript Release: I give my consent for a copy of my transcript and available test score to be released to Ashland University.

Student Athlete:     Parent or Guardian: