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Introduction Section

WELCOME TO CAPITAL UNIVERSITY'S FOOTBALL QUESTIONNAIRE! Please fill out the questions below to the best of your ability.

Questionnaire Code
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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 Zip:

Parent 1's Occupation:

Parent 1's Email Address:

Parent 1's Cell Phone:

Parent 1's Business Ph.:

Parent 1's College:

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 Zip:

Parent 2's Occupation:

Parent 2's Email Address:

Parent 2's Cell Phone:

Parent 2's Business Ph.:

Parent 2's College:

Living With:

Most Influential People in Your Life: (1)

Most Influential People in Your Life: (2)

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

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School Name:

School Address:

School City:

School State:

School Zip:

GPA:

SAT Composite:

ACT Composite:

Intended Major:

Athletic Information

Height

Weight (in lbs.)

Jersey #

HUDL

YouTube

Positions

Specialist

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