Hiwassee College
Athletics Questionnaire
(For students desiring to participate in collegiate sports)
Personal Information
Full Name:
Date of Birth:
Street Address:
City:
State:
Zip Code:
Home phone:
Cell phone:
E-mail:
Social Security #
Mother's name:
Father's name:
Mother's occupation:
Father's occupation:
Mother's phone:
Father's phone:
Academic Information
High school:
Phone:
City:
State:
select
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
ME
MD
MI
MO
MN
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip code:
Graduation date:
High school GPA:
Class rank:
SAT score:
ACT score:
Academic honors:
Intended major:
Athletic Information
Sport:
select
Baseball
Basketball (Men)
Basketball (Women)
Cheerleading/Dance
Cross Country (Men)
Cross Country (Women)
Golf
Soccer (Men)
Soccer (Women)
Softball
Volleyball
Other Sport: (If any)
Position:
Height:
Weight:
One mile run time:
3.1 mile time:
Other information regarding your
personal performance/state (explain):
High school coach:
Coach's phone:
Athletic honors:
Other colleges under consideration:
1-800-356-2187 • Fax (423) 420-1896 •
E-mail