Prospective Student Athlete Questionnaire

Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Email *

Birthdate (MM/DD/YY)

Height

Weight

High School Graduation Year

Academic Area of Interest at UVa

High School Grade Point Average

Class Rank

Academic Honor

ACT/SAT Score

Applied to NCAA Clearinghouse?

Been Admitted to UVa?

High School Counselor / Phone Number

High School

Letters Won in This Sport

Coach's Name / Phone Number

Summer / Club Coach Name & Phone Number

AAU / Team Name

Position / Event

Statistics for Current Season

Career Statistics

All-Conference Honors in Career (first team, second team as a senior, junior, etc.)

Other Athletics Honors in Career (all-state, all-area, etc.)

Other Honors

Team Highlights in Career

Sports Specific Vitals (bat r/l, pitch r/l)