Cornell College Athletic Questionnaire

First Name:
Last Name:
Address:
City:State: Zip:
Phone:Email:
Academic Interests:1.
2.
Interest in Cornell: I have visited Cornell.
Parent Information
Dad's Name
Occupation:
Work #:College Attended:
Mom's NameOccupation:
Work #:College Attended:
Parents are:I live with:
Physical Information
(please give all the information that applies)
Gender:
Height:
Weight:
Vertical Jump:
Bench Press:
Squat
40 Time:
High School Varsity Athletic Information
(please check all that you participated in)
Baseball Football Tennis
Basketball Golf Track
Cheerleading Soccer Volleyball
Cross Country Softball Wrestling

Collegiate Sport Preference #1:
# of JV Years: I am/was a starter.
# of V Years:
Head Coach:Phone:
Preferred Position/s or Event/s:1.
2.
Times/Stats:
Honors:

Collegiate Sport Preference #2:
# of JV Years: I am/was a starter.
# of V Years:
Head Coach:Phone:
Preferred Position/s or Event/s:1.
2.
Times/Stats:
Honors:
I have tapes of games/meets/events that could be made available to your coaches.
I wish to compete in other sports at the collegiate level.
Which ones?
High School:
Phone Number:
Counselor:
Graduation Date:Class Rank: /
Cum. GPA: /4.0ACT:
SAT:V: M: SAT Total: