Introduction Section
WELCOME TO THE DUQUESNE FOOTBALL QUESTIONNAIRE!!!
Questionnaire Code
(not required):
Personal Information
First Name:
Middle 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
Parent(s) Information
Mother's First Name:
Mother's Last Name:
Father's First Name:
Father's Last Name:
Father's Occupation:
Academic Information
School Name:
School Address:
School City:
School State:
GPA:
SAT Reading:
SAT Math:
SAT Composite:
ACT Sum Score:
Intended Major:
Have you Joined the Eligibility Center?
Eligibility ID:
Athletic Information
Height
Weight (in lbs.)
Jersey #
Positions
Football
Other Questions
Do you have any online video (provide link here):
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: