Introduction Section
Welcome to the Valparaiso Men's Golf Recruiting Questionnaire. Please fill out the information below to the best of your knowledge.
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:
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 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 College:
Living With:
Most Influential People in Your Life: (1)
Most Influential People in Your Life: (2)
Academic Information
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School Name:
School Address:
School City:
School State:
School Zip:
School Phone#:
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:
Athletic Information
Height
Weight (in lbs.)




Other Questions
High School Academic Awards:
High School Coach Name:
High School Coach Email:
High School Coach Cell Phone:
High School Athletic Honors:
Avg. Distance - Driver/5i/9i:
Home Course:
Home Course Golf Professional:
Swing Coach Name:
Swing Coach Email:
Swing Coach Phone:
USGA Hdcp. Index:
Overall Junior Golf Scoreboard Ranking:
AJGA Polo Golf Ranking (if applicable):
# of Tournaments/# of Competitive Rounds Last Year:
# of Tournaments/# of Competitive Rds. Two Years Ago:
Lowest Competitive Round:
Lowest 36-Hole Total/Lowest 54-Hole Total:
Other Interests:
Employment (if applicable):
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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