Introduction Section
This is the Southeastern Football Recruiting Questionnaire. Please complete all fields!
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:
@
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 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 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 Occupation:
Guardian's Email Address:
Guardian's Cell Phone:
Academic Information
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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 Composite:
ACT Composite:
Class Rank:
Out Of
Intended Major:
Have you Joined the Eligibility Center?
Eligibility ID:
Athletic Information
Height
Weight (in lbs.)
Positions
Offense
Offense
Defense
Defense
Special Teams
Special Teams
Other Questions
Are you aware that Southeastern is a Christ-centered University? Yes No:
Have you joined the NAIA Eligibility Center? If yes, what is your Eligibility ID?:
Previous injuries::
Illnesses we need to be aware of::
Marital status::
Children and ages::
Church you attend::
Hobbies::
Best friend::
Bench Press::
Squat::
Hang Clean:
Academic honors::
Extra curricular activities::
Community service involvement::
Career goals::
Religion::
Active in church or any other religious organizations?:
Do you play any other sports?:
What are you looking for in a college experience?:
What interests you most about our program?:
Any previous legal issues?:
Age::
Method of contact preferred::
What is your Church pastor/minister's name?:
What is your Church pastor/minister's email or cell?:
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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