CMU Football Prospective Student-Athlete Questionnaire - CMUChippewas.com—Official Web Site of Central Michigan University Athletics

CMU Football Prospective Student-Athlete Questionnaire

CMU Football Prospective Student-Athlete Questionnaire

Required Fields in Bold

	Name (First, Middle, Last):

	Home Address (including city, state, ZIP):

	Home Phone:

	Social Security Number:

	Email Address:

	Birthdate:

	Parents' Names:

	Mother's Occupation:

	Father's Occupation:

	Mother's Work Phone:

	Father's Work Phone:

	Mother's College:

	Father's College:



	Do you live with mother / father / both / other?

	High School and Graduation Date:

	School Address (including city, county, state, and ZIP):

	School Phone Number:

	Head Coach's Name:

	Head Coach's College:

	Coach's Home Phone Number:

	Coach's Work Phone Number:

	Academic Counselor:

	Academic Counselor's Phone Number:

	GPA:

	SAT Scores (Verbal and Math):

	ACT:

	Class Rank:

	Academic Honors:

	Intended College Major:

	CMU People You Know (if any):

	Height and Weight:

	Jersey Number:

	Positions Played (offense, defense, special teams):

	Preferred Position:

	40-yard Time:

	100-meter Time:

	Bench:

	Squat:

	Other Sports:

	Athletic Honors: