WELCOME TO DARTMOUTH FOOTBALL'S
PROSPECTIVE STUDENT ATHLETE QUESTIONNAIRE

Please fill out the following questionnaire
Click the SAVE button below when you're done.
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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. 2010)

 

Personal Information
 
Submitted By:
 
 First  Middle  Last
Your Name:
Preferred First Name:
Street Address:
City:
State / Zip:
 
 Month  Day  Year
Date of Birth:
Race:
Email Address:
Confirm Email:
Home Phone:
Cell Phone:
Facebook Name/ID:
Twitter Handle:
Did Any Relative Attend Dartmouth?
If Yes, Name:
If Yes, Relationship:
If Yes, Grad Year:
 

Family Information
 
Mother's First Name:
Mother's Last Name:
Mother's Job:
Mother's Work #:
Mother's Cell #:
Mother's Email:
Siblings:
Father's First Name:
Father's Last Name:
Father's Job:
Father's Work #:
Father's Cell #:
Father'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 #:
Counselor's First Name:
Counselor's Last Name:
Intended College Major:
Graduation Year: GPA:
PSAT Reading: PSAT Math:
PSAT Writing:
SAT Test Date:
SAT Reading: SAT Math:
SAT Writing:
SAT II Test Date:
SAT II Subject: Score:
SAT II Subject: Score:
ACT Test Date:
ACT Score:
Class Position: Class Size:
 

Athletic Information
 
Coach's First Name:
Coach's Last Name:
Coach's Home #:
Are registered with the NCAA Clearinghouse:
Clearinghouse ID:
Other Schools Of Interest:
1:
2:
3:
4:
Link to Highlight Video:
Height:
Weight:
Offensive Position:
Defensive Position:
Specialty Position:
Preferred Position:
Other Sports Played:
40 Time:
Jersey Number:
Students or Alumni of Dartmouth you know:
Who will you look to for advice when choosing a college?:
His/Her Phone Number:
 

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