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AC Football Prospective Student Athlete Questionnaire
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Graduation Year *
Last Name *
Your answer
First Name *
Your answer
High School *
Your answer
Address *
Your answer
City *
Your answer
State *
Zip Code *
Your answer
Cell Phone *
Please Format as XXX-XXX-XXXX
Your answer
Home Phone
Please Format as XXX-XXX-XXXX
Your answer
Email
Your answer
ATHLETIC INFORMATION
Primary Position *
Secondary Position
Jersey # *
HUDL Link *
Your answer
Height *
Weight *
Your answer
ACADEMIC INFORMATION
Primary Academic Interest *
Secondary Academic Interest
GPA *
Please have counselor fax unofficial copy of your transcript to ATTN: Eric Tyahla at 517-264-3802 or email to etyahla@adrian.edu
ACT/SAT Composite Score *
Please have counselor fax copy of your ACT/SAT Score Reports to ATTN: Eric Tyahla at 517-264-3802 or email to etyahla@adrian.edu. If you have not taken the ACT or the SAT, please put month you plan to take the test. You will need an ACT or SAT test score to be admitted to Adrian College.
Your answer
Guidance Counselor Name
Your answer
Guidance Counselor's Email
Your answer
ADDITIONAL INFORMATION
High School Head Coach Name *
Your answer
Father's Name
Your answer
Mother's Name
Your answer
Other Colleges/Universities you are considering *
If none, type N/A
Your answer
Are you a Transfer Student *
If yes, what Colleges/Universities have you attended?
Your answer
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