Introduction Section
Charleston Southern Football Recruiting Questionnaire
Personal Information
First Name:
Middle Name:
Last Name:
Preferred Name:
Address Type:
Street Address:
City:
State:
Zip:
Grad Year:
Date of Birth:
Email Address:
Home Phone:
Mobile Number:
FaceBook:
Twitter:
@
Instagram:
@
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:
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:
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 College:
Living With:
Academic Information
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School Name:
School City:
School State:
GPA:
SAT Test Date:
SAT Reading:
SAT Math:
SAT Writing:
ACT Test Date:
ACT English:
ACT Math:
ACT Reading:
ACT Science:
Intended Major:
Have you Joined the Eligibility Center?
Eligibility ID:
Athletic Information
Height
Weight (in lbs.)
Jersey #
Positions
Offense
Offense
Defense
Defense
Special Teams
Special Teams
Other Questions
Online Recruiting Profile Link (HUDL, BeRecruited, etc):
Highlight Film Link 1 (YouTube, etc):
Highlight Film Link 2 (YouTube, etc):
Please tell us why you play football?:
What is your motivation for getting up every morning?:
What is your interest in Charleston Southern University?:
Injury history: Please explain, in detail, any athletically related injuries or medical issues:
Have you played other sports in your High School/Prep career? If so, which ones?:
If you played other sports, please list your positions/events, as well as results/times. (ex. 100m Sprint - 10.9):
When you have completed this questionnaire please click submit questionnaire.
School Name:
OR :
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:

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