Athletics
 

Recruit Questionnaire

You will be returned to the Southeast Missouri State recruiting page after submission.

Sport You Are Interested In At Southeast Missouri State:
(Determines Coach that will receive this form)


Experience Southeast ... Experience Success



PERSONAL
Full Name:
Home Address:
City:
State/Province:
Zip/Postal Code:
Country:
Home Phone:
Fax:
E-Mail:
Social Security Number:
Age:
Date of Birth:
Father's Name:
Father's Occupation:
Father's Business Phone
Mother's Name:
Mother's Occupation:
Mother's Business Phone

HIGH SCHOOL/PREVIOUS SCHOOL
Present School:
Graduation Date (Month/Year):
School Address:
City:
State/Province:
Zip/Postal Code:
Country:
Counselor Name:
Counselor Phone:
Anticipated Enrollment Date (Month/Year):
Intended Major:
Class Rank/Size:

GPA:

SAT:

ACT:

Scholastic Honors:

ATHLETICS
Height
Weight
Position:
Positions Played:
High School Coach:
High School Coach's Phone:
Summer/Club Team:
Summer/Club Coach:
Summer/Club Coach's Phone:

Athletic Honors/Achievements:

Please List Your Stats:

 
 
  

Redhawks Athletics Athletics
 
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