If you are interested in Concordia athletics and would
like to contact a coach,
please fill out the following questionnaire.
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GENERAL
INFORMATION |
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Full
Name |
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Sex: |
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Male
Female
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| 3.
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Date of
Birth |
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| 4.
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Age |
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| 5.
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Today's
Date |
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| 6.
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Address |
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City, State,
& Zip Code |
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| 8.
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E-mail
Address |
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| 9.
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Cell Phone
Number |
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| 10.
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Home Phone
Number |
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I live
with: |
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Mom
Dad
Both
Other
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| 12.
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Father's
Name |
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| 13.
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Occupation |
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Mother's
Name |
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| 15.
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Occupation |
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| 16.
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Have you
visited Concordia's campus? If so,
when? |
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| 17.
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Who do you
know that attends, has attended, or is connected with
Concordia? |
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| 18.
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What other
schools you are considering? |
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| 19.
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Why are you
interested in Concordia? |
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| 20.
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Comments |
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ACADEMIC
INFORMATION |
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| 21.
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Current
School |
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| 22.
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City, State
Zip (of school) |
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In what area
of study do you plan to major? |
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| 24.
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School
Phone |
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| 25.
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School
Organizations and Honors |
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| 26.
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ACT
Score |
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SAT Score
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| 28.
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GPA |
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Class Rank
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of
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| 30.
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Graduation
Date |
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| 31.
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Current High
School/College Coach and
Phone Number |
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ATHLETIC INFORMATION |
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| 32. |
Other sport you are interested
in participating in at CUNE . . .
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| 33.
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Height |
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| 34.
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Weight |
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| 35.
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Position(s)
Played |
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| 36.
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Scoring
Average |
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| 37.
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Rebound
Average |
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| 38.
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Assists/Game |
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| 39.
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Previous
Year's Team Record |
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OTHER
ATHLETIC INFORMATION |
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| 40. |
Name other sports played,
your position(s), and any performance notes on
the sport (honors, personal
bests, averages, etc.) |
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