Recruit Questionnaire

Email Secondary Email

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Email address *

First name *

Last name *

Address

City

State

Zip

Country

Home Phone

Cell Phone

Father's Name

Occupation

Mother's Name

Occupation

Siblings

Year of Graduation

High School

Phone Number

High School Counselor

Phone Number

GPA

ACT Score

SAT, Verbal

SAT, Math

Possible College Majors

Best Score

Handicap

High School Coach

Phone Number

Athletic Honors

All-Conference, etc

Please list the three people who will influence your college decision the most

* required field

Western Texas College