Carroll College - Athletics Questionnaire

Athletic Questionnaire

Thank you for your interest in Carroll College athletic programs. Please take a few moments to fill out the questionnaire and share a little information about your athletic background experience.

* Indicates Optional Information

Personal Information

First:			M.I.:			Last:			* Nickname:
Address:			City:			State:			Zip Code:

Home Phone:

- -

* Cell Phone:

- -

Email:

Date of Birth: (MM/DD/YYYY)

Father's Information
First Name:		Last Name:
College:
Occupation:
Work Phone:	- -

Mother's Information
First Name:		Last Name:
College:
Occupation:
Work Phone:	- -

Parents are: Married Separated Divorced

I live with: Both Mother Father

Hobbies: 1. 2. 3.

Name of the most influential person in your life:

What interests you most about Carroll?
(10 word minimum)

Academic Information

School Name:		High School Junior College
Address:	City:		State:	Zip Code:
Counselor:	Year:		GPA:
Planned course of study in college:
SAT scores (PSAT if you haven't taken SAT):		Verbal: Math
ACT Scores:		Score: Reasoning

Select Sport:

Cross Country Questions

School Attended:

Coaches Name:

School Phone:

- -

Coache's Office Phone:

- -

Name of the most influential High School coach in your life?

Height:

Weight:

Field Times

400m	800m	1600m
3200m	5K Road	3 Mile XC
XC 5K	XC 8K

Injuries you had:

Athletic Honors:

Other Sports Played:

Family/Friends in Helena:

At Carroll College:

Carroll Montana

Page Title

Athletics Questionnaire

Athletic Questionnaire

Personal Information

Academic Information

Cross Country Questions