Introduction Section
Welcome to the K-State Women's Rowing questionnaire!

The information that you provide here is our means of being in contact with you. Please give us as many details as you can.
If you have questions, you can always contact Coach Grace at row4ksu@ksu.edu

Like us on Facebook: search for Kansas State Women's Rowing Team.
And check us out on Instagram as ksurowing.
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:
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 Occupation:
Mother's Email Address:
Mother's Cell Phone:
Mother's Business Ph.:
Mother's College:
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 Occupation:
Father's Email Address:
Father's Cell Phone:
Father's Business Ph.:
Father's College:
Living With:
Most Influential People in Your Life: (1)
Most Influential People in Your Life: (2)
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 Email:
GPA:
SAT Test Date:
SAT Composite:
ACT Test Date:
ACT Composite:
Class Rank:
Out Of
Intended Major:
Have you Joined the Eligibility Center?
Eligibility ID:
Club Information
Club Name:
Club Address:
Club City:
Club State:
Club Zip:
Club Coach:
Club Coach Cell:
Club Coach Office:
Club Coach Home:
Club Coach Email:
Athletic Information
Height
Weight (in lbs.)


Other Questions
Where did you first hear about our program?:
What makes you most interested in rowing for K-State?:
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: