Introduction Section
Thank you for your interest in South Carolina Equestrian. Please fill out all of the questionnaire.
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:
FaceBook:
paste the URL from your Facebook profile
What is your connection to this university:
Parent(s) Information
Mother's First Name:
Mother's Last Name:
Mother's Occupation:
Mother's Email Address:
Mother's Cell Phone:
Mother's College:
Living With:
Father's First Name:
Father's Last Name:
Father's Occupation:
Father's Email Address:
Father's Cell Phone:
Father's Business Ph.:
Father's College:
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 Occupation:
Guardian's Email Address:
Guardian's Cell Phone:
Guardian's Business Ph.:
Guardian's College:
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:
Counselor's Phone:
Counselor's Fax:
Counselor's Email:
GPA:
SAT Test Date:
SAT Reading:
SAT Math:
SAT Writing:
SAT Composite:
ACT Test Date:
ACT Sum Score:
ACT Composite:
ACT English:
ACT Math:
ACT Reading:
ACT Science:
TOEFL:
Class Rank:
Out Of
Intended Major:
Have you Joined the Eligibility Center?
Eligibility ID:
Athletic Information
Height
Weight (in lbs.)


Positions
Equestrian
Other Questions
List Medal Finals you've qualified or competed:
List Major Equestrian Accomplishments:
Associations (USEF, AQHA, NRHA, Breeds, etc.):
# of years Riding Experience:
List any injuries or surgeries:
Riding Strengths:
Riding Weaknesses:
List World Show, Congress, Youth World, and Derby Experience:
Do You Catch Ride?:
Amateurism Info: Have You Earned Prize Money?:
Is Your Prize Money Documented?:
What is the Most That You Have Earned In A Single Competition?:
Have You Ever Earned More Than It Cost To Attend A Competition?:
What Is Your Trainer's First & Last Name?:
Trainer's Email::
Trainer's Cell Phone:
Are you Home Schooled?:
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: