Introduction Section
WELCOME TO THE NORTH CAROLINA CENTRAL FOOTBALL QUESTIONNAIRE!

PLEASE COMPLETE ALL THE REQUIRED INFORMATION TO FACILITATE COMMUNICATION. WE LOOK FORWARD TO SEEING YOU ON CAMPUS SOON!

EAGLE PRIDE!

#beGREAT
Personal Information
First Name:
Last Name:
Preferred Name:
Country:
Address Type:
Street Address:
City:
State:
Zip:
Grad Year:
Date of Birth:
Email Address:
Home Phone:
Mobile Number:
Twitter:
@
Instagram:
@
What is your connection to this university:
Parent(s) Information
Parent 1's First Name:
Parent 1's Last Name:
Parent 1's Gender:
Parent 1's Address (If Different):
Parent 1's City:
Parent 1's State:
Parent 1's Cell Phone:
Living With:
Siblings (Names & Age):
Parent 2's First Name:
Parent 2's Last Name:
Parent 2's Gender:
Parent 2's Address (If Different):
Parent 2's City:
Parent 2's State:
Parent 2's Cell Phone:
Living With:
Guardian Information
Guardian's First Name:
Guardian's Last Name:
Guardian's Address (If Different):
Guardian's City:
Guardian's State:
Guardian's Zip:
Gender:
Guardian's Cell Phone:
Living With:
Academic Information
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School Name:
School City:
School State:
GPA:
SAT Composite:
ACT Sum Score:
ACT Composite:
Intended Major:
Have you Joined the Eligibility Center?
Eligibility ID:
Athletic Information
Height
Weight (in lbs.)
Jersey #


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Positions
Offense
Offense
Defense
Defense
Special Teams
Special Teams
JC/TRANSFER OFF BOARD
JC/TRANSFER OFF BOARD
JC/TRANSFER DEF BOARD
JC/TRANSFER DEF BOARD
Other Questions
Head Football Coach First & Last Name:
Head Football Coach Email:
Head Football Coach Cell:
Other Sports Played:
Previous Injuries or Surgeries?:
Educational Accommodations? :
When you have completed this questionnaire please click submit questionnaire.
School Name:
OR :
State:
City:


Club Name:
Team Name:
Coach Last Name:
State:
City:


Club Name:
Team Name:
Club State:
Club Coach First Name:
Club Coach Last Name:
Club Coach Email:
Club Coach Mobile:

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