Welcome to the Bluefield College Football
Online Questionnaire!

Please fill out the following questionnaire
Click the SAVE button below when you're done.
Please use the TAB key to advance to the next field.
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Please be sure to fill out all required fields:
First Name, Last Name, Select School, H.S. Grad Year (e.g. 2005)

 

Personal Information
 
Your Name:
First Middle Last
Preferred Name:
Street Address:
City:
State / Zip:
Date of Birth:
Month Day Year
Email Address:
Home Phone:
Cell Phone:
Carrier:
 

Parent's Information
 
Mother's First Name:
Mother's Last Name:
Mother's Cell #:
Mother's Carrier:
Mother's Email:
I Live With:
Father's First Name:
Father's Last Name:
Father's Cell #:
Father's Carrier:
Father's Email:
Guardian's First Name:
Guardian's Last Name:
Guardian's Cell #:
Guardian's Email:
 

Academic Information
 
Please use the SELECT SCHOOL Button to choose your school.
School Type:
School Name:
School Address:
School City:
School State / Zip:
School Phone #:
School Fax #:
Graduation Year: GPA:
SAT Test Date: Score:
ACT Test Date: Score:
 

For Transfer's Only
 
College/Junior/Community College Name:
Address:
City:
State / Zip:
Your School Address:
City:
State / Zip:
Semesters Attended:
Hours Completed:
GPA:
College Coach's First Name:
College Coach's Last Name:
College Coach's Office #:
College Coach's Cell #:
College Coach's Email:
 

Athletic Information
 
HS Coach's First Name:
HS Coach's Last Name:
HS Coach's Office #:
HS Coach's Cell #:
HS Coach's Email:
Height:
Weight:
Offensive Position:
Defensive Position:
Specialties:
40 Time:
Jersey Number:
Bench:
Squat:
Clean:
 

When you have completed this questionnaire please click the save button.