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Print this Questionnaire, Fill it Out, and Fax it to Wingate Football-704.233.8170 |
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Wingate
University Bulldogs Football
Questionnaire Personal InformationName__________________________________________
Nickname______________________ Home
Phone(_____)____________Cell Phone(_____)_____________E-Mail________________ Address_______________________________________________________________________ Birthdate____/____/____
Social Security #_________________Place of Birth_______________ Father’s
Name________________________Father’s
Occupation_________________________ Father’s
College____________ Father’s Employer____________Work
Phone(___)__________ Mother’s
Name_________________________Mother’s
Occupation_______________________ Mother’s
College____________Mother’s Employer____________Work
Phone(___)__________ Living with (Circle
one): Mother / Father / Both / Other: Name:____________________Relationship____________ Academic Information
High School or
Junior College_____________________________________________________ Address_______________________________________________________________________ School Phone
(____)_________________ Guidance Counselor___________________________ Coach’s
Name______________Work Phone (____)__________Home Phone
(____)__________ GPA_________ SAT-V__________SAT-M_________ACT_________Rank_______/________ High School Graduation Date: Month________ Year_______ Potential College
Major 1)_______________ 2)________________ 3)________________ What Students,
Graduates, or Friends of Wingate University do you know?______________________________________ Other Colleges you
are interested in: 1)_____________
2)_____________ 3)_____________4)____________ Athletic InformationHeight__________
Weight__________ 40 yd._________ 100m_________200m_________ Offensive
Position__________ Defensive Position_________Jersey #____________ Preferred College
Position (List One):____________ Specialties__________________________ Other
Sports:_________________________Athletic
Honors:____________________________ Hobbies/
Interests:______________________________________________________________ Most influential
people in your life: _________________________________________________ _____________________________
Date____/_____/______
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