Avila Athletics - Women's Golf Team Questionnaire

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	Avila University Golf Questionnaire
	11901 Wornall Road Kansas City, Missouri 64145	Phone: 816.942.8400 ext. 3634 Fax: 816.941.4503

	Please fill out the following information. The fields with asterisks are required.

	Personal Information
	First Name *	Last Name *
	Phone * (ex: 555-555-5555)	Email address
	Street *	City *
	State *	Zip *
	Contact besides yourself (mom, dad, guardian):

	Golf Information
	Handicap
	High School coach's name	High School coach's phone
	Community College Coach	Community College Coach Phone
	Honors Earned
	Who are the best two players you have played with this season and what teams were they on?
	Player one and Team	Player two and Team

	References
	List two qualified individuals who could discuss your academic and athletic talent.
	First Reference Name	Address
	Phone
	Second Reference Name	Address
	Phone

	Injury Information
	List any previous injuries and your present physical condition in relation to those injuries-date occurred, surgery, rehab, etc.

	Academic Information
	High School	Graduation Date
	High School GPA	Class Rank
	ACT score	SAT score
	Planned date for (re)taking the SAT/ACT?	Community College
	Total hours	GPA
	Intended major	Other colleges you are interested in?

	Transfer Information
	If you are a Community College transfer, will you graduate? Yes No	Community College
	Community College Address	Community College GPA
	Community College Phone

	Thank you for your interest in Avila Athletics! Someone will be contacting you shortly!

	Dept. of Athletics 11901 Wornall Road Kansas City, Missouri 64145 816.942.8400 ext. 3634 fax 816.941.4503