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: !
Temporary address:
(if applicable)

Address 1

Address 2
City  State   Zip/Postal Code
Email: !  (use format
 Personal Information
Date of birth:    (use format mm/dd/yyyy)
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:

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:  
Guidance counselor:  
Class rank:  
Academic honors:  
 Other Athletic Information
Have you initiated the process with NCAA Clearinghouse (if applicable to your sport)?
Do you have videotape available for the coach's viewing?
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.

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