Siena College
Athletic Recruiting Questionnaire
Sport You Are Interested In At Siena College:
Your Social Security Number:
Your e-mail address:
Your age, HS Grad. Date:
Your First Sport:
The subject of your message:
 
Tell us something about yourself
Last Name:
First Name:
Middle Name:
Nickname:
 
Address:
City:
State or Country:
Zip Code:
Phone Number:
 
Date of Birth:
Planned College Major:
Sport(s) you want to be recruited:
Height:
Weight:
Postition:
 
Tell us something about your family
 
Father's Name:
Occupation:
Alma Mater:
Business Phone/E-Mail:
 
Mother's Name:
Occupation:
Alma Mater:
Business Phone/E-Mail:
 
Brothers and Sisters (Name/Age):
Most influential person in your life:
Ethnicity:
Religion (Optional):
 
Your Academics
 
School:
Address:
City:
State or Country:
Zip Code:
 
SAT Score: Verbal:
SAT Score: Math:
ACT Score: Composite:
Academic Honors:
Year/Graduation:
Class Rank
GPA (4.0=A):
Guidance Counselor:
School Phone:
Languages you speak Fluently:
If Foreign, how many years of English have you taken?:
Non-Athletic Activities (Please Check)
Boy's State
Student Body Officer
Class President
National Honor Society
Your Athletics
High School Coach:
Home Phone:
Club Coach:
Home Phone:
Club Name:
Answer with time for best stroke. Denote yards or meters.
50 free
100 free
200 free
500 free
1000 free
1650 free
50 back
100 back
200 back
50 breast
100 breast
200 breast
50 fly
100 fly
200 fly
200 ind. medley
400 ind. medley
 
Sports Goals/Background
 
What are your sport goals for the next four years?
 
Please list your specific best times, marks, stats, scores by event:
 
Please list your specific sport honors, awards, selections for scholarship consideration
 
Please list your one specific best sports performance:
Indicate any athletic records held, special honors in your sport:
 
Have Previously or Currently Attended another College/University? If Yes, What school?
 
What Have We Missed?  Use this space to add anything else your believe is pertinent to your application
 

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