Men's Golf Recruiting Questionnaire

Please complete this questionaire with as much information as possible. Following your submision, you will be contacted by a coach to furthur discuss the University and the men's golf program.

Required fields in bold.

First Name:

Middle Name:

Last Name:

Nicknames:

Home Phone:

Cell Phone:

E-Mail:

Mother's Name:

Mother's Occupation:

Mother's E-Mail:

Father's Name:

Father's Occupation:

Father's E-Mail:

Parents Are:

Lives With:

Date Of Birth:

Social Security Number:

Year of Graduation:

Brothers & Sisters:

Address:

City:

State/Province:

ZIP/Postal Code:

High School Name:

Address:

State/Province:

ZIP/Postal Code:

Guidance Counselor's Name:

Intended Major:

GPA:

Class Rank:

ACT:

SAT:CR

SAT:W

SAT:M

Registered With NCAA:

Applying for Financial Aid?

Rate Level of Interest:

Other Schools:

Height:

Weight:

Home Country Club:

Name of Club Professional:

Phone Number of Club Professional:

E-mail of Club Professional:

USGA GHIN Number:

USGA Index:

Low Competitive Round:

Strengths of Game:

Weaknesses Of Game:

Career Aspirations:

Schools and Golf Programs you are interested in other than Long Beach State University:

Why do you have interest in the Long Beach State University Golf Program?