GOLF QUESTIONNAIRE

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First Name *

Middle Name *

Last Name *

Gender *

Male Female

Birth Date *

Email address *

Cell Phone Number

Address *

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

HIGH SCHOOL

GRADUATION YEAR *

MAJOR OF INTEREST

OTHER MAJOR(S) OF INTEREST

CLASS RANK

HIGH SCHOOL GPA

GPA

ACT

SAT

PREVIOUS COLLEGE

GPA

HOURS PASSED

YEARS OF ELIGIBILITY

Coach's Name

Full Name

Coach's Phone

COACH'S EMAIL

HOME COURSE

RATING

HANDICAP

Head Pro

Full Name

Course Phone Number

USGA HANDICAP

IF NO HANDICAP, AVERAGE 18-HOLE SCORE

FIVE BEST TOURNAMENT PERFORMANCES (INCLUDE EVENT, COURSE, SCORES & FINISH)

NAIA ELIGIBLITY CENTER NUMBER

ACADEMIC/ATHLETIC AWARDS & HONORS

* required field