UD Athletics Questionnaire for Prospective Student-Athletes

University of Delaware Athletics Questionnaire for Prospective Student-Athletes

Thank you for your interest in the Intercollegiate Athletics Program at the University of Delaware! Please take some time to complete this questionnaire. When completed, this questionnaire will be sent directly to the coach of your sport-interest and he or she will respond to you as soon as possible. The information you are supplying is transmitted via a secure server. This information is confidential and will not be used in any other format.

This is not a formal application to the University of Delaware. It is used solely to give our coaches some basic information about you.

Today's date:

Sport:

Contact Information

Name:

Permanent address:

Address 1
Address 2

City	State	Zip/Postal Code

Phone:

Type:

Temporary address:
(if applicable)

Address 1
Address 2

City	State	Zip/Postal Code

Phone:

Type:

Email:

(use format xxx@xxx.xxx)

Personal Information

Height:

Weight:

Date of birth:

(use format mm/dd/yyyy)

Gender:

Mother's name:

Father's name:

Academic Information

Term you plan to begin college:

Fall, Spring

Year you plan to begin college:

Intended major:

Test scores:

PSAT

SAT

ACT

Complete as applicable
Math:	Verbal:		Date taken:
Math:	Verbal:	Written:	Date taken:
Math:	Verbal:		Date taken:

High School or Junior College:

School address:

Address 1
Address 2

City	State	Zip/Postal Code

Anticipated graduation date:

(use format mm/dd/yyyy)

High School or Junior College Coach:

Coach's phone:

Type:

Guidance counselor:

GPA:

Class rank:

Academic honors:

Other Athletic Information

Have you initiated the process with NCAA Clearinghouse (if applicable to your sport)?

yes,no

Do you have videotape available for the coach's viewing?

yes,no

If applicable, what position do you play?

For cross country, swimming, and track and field:

List top career times for events in which you have competed.

General Athletic Information:

List information pertinent to your sport such as club teams you play for, statistics, 40-yard dash time, awards/honors, left-handed or right-handed, etc.