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Questionnaire


Please fill this form out and submit it to gain more specific information about College Consulting.  All questions will be answered within a timely manner.

* indicates required fields

Name

First Name *   
Last Name *  
Sport *  
Date of Birth *  
Sex * Male Female
Height
Weight

Address

Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country *
Home Phone
FAX
E-mail

Father's Name


Father's Occupation


Mother's Name


Mother's Occupation


Siblings & Ages


Athletic Highlights / Handicap / Sporting Position


High School


Graduation Date *

  -- dd/mm/yy (if not sure, put the nearest possible date)

High School Address

Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

High School Telephone Number

Work Phone

Subjects & Grades


Coach

First Name
Last Name
Home Phone

Questions and what are you interested in studying?


 
Kylie Pratt
Copyright © 2003 College Consulting. All rights reserved.
Revised: June 25, 2003
 

                                  " Building a Future Through Academics and Athletics"