Introduction Section
Thank you for your interest in Utah State Football. When new personal information changes, please feel free to submit another questionnaire. Your new information will be added to our records.

Mail DVD to:
Utah State University Football
7425 Old Main Hill
Logan, UT 84322 - (435) 797-1870
Questionnaire Code
(not required):
Personal Information
First Name:
Last Name:
Preferred Name:
Country:
Street Address:
City:
State:
Zip:
Grad Year:
Date of Birth:
Email Address:
Home Phone:
Mobile Number:
Skype:
Google Talk:
FaceBook:
paste the URL from your Facebook profile
Twitter:
@
enter your twitter username only
What is your connection to this university:
Parent(s) Information
Mother's First Name:
Mother's Last Name:
Mother's Address (If Different):
Mother's City:
Mother's State:
Mother's Zip:
Mother's Email Address:
Mother's Cell Phone:
Living With:
Siblings (Names & Age):
Father's First Name:
Father's Last Name:
Father's Address (If Different):
Father's City:
Father's State:
Father's Zip:
Father's Email Address:
Father's Cell Phone:
Living With:
Guardian Information
Guardian's First Name:
Guardian's Last Name:
Guardian's State:
Guardian's Email Address:
Guardian's Cell Phone:
Living With:
Academic Information
School Name:
School Address:
School City:
School State:
School Zip:
School Phone#:
School Fax#:
Counselor's First Name:
Counselor's Last Name:
GPA:
SAT Test Date:
SAT Reading:
SAT Math:
SAT Writing:
SAT Composite:
ACT Test Date:
ACT Sum Score:
Class Rank:
Out Of
Intended Major:
Have you Joined the Eligibility Center?
Eligibility ID:
Athletic Information
Height
Weight (in lbs.)
Jersey #


Positions
Other Questions
Online Video Link #1:
Online Video Link #2:
Online Video Link #3:
Online Recruiting Profile Link:
When you have completed this questionnaire please click submit questionnaire.
School Name:
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: