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Golf Questionanaire

Please fill out this to our best ability. The results will be emailed to golf coach GInger Brown-Lemm.

Required Fields are in Bold

Name (last, first, middle)
 
Home address (number, street, city, state, zip)
 
Home phone number
 
Cell phone number
 
Email address
 
Mother's name,email
 
Mother's occupation
 
Mother's college attended
 
Father's name, email
 
Father's occupation
 
Father's college attended
 
Parents are
 
Married
Divorced
I live with
 
Both
Mother
Father
Other
If other, please explain
 
Age and date of birth
 
Brothers and sisters and their ages
 
Any serious injuries? If so, what? (ankle, knee, etc.)
 
Scoring average
 
Best 18-hole tournament score, course name and location
 
High school and or junior college (name and address
 
Coach's email and school telephone number
 
GPA and class rank
 
ACT and SAT scores
 
High school counselor
 
Possible college majors
 
NCAA Clearinghouse registered
 
YES
NO
Professional career goals
 
Other school activities or sports and positions played
 
Athletic honors/awards received
 
Names of friends and relatives who have attended or now attend A-State
 
Relatives who live in the Jonesboro area
 
Top three factors influencing your college choice (size of school, location, majors, etc.)
 
What other interests do your have outside golf?
 
List other schools that you are considering
 
Have you ever worked with a Sports Psychologist?
 
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