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Recruit Questionnaire

You will be returned to the UCSB's main home page after submission.

Sport You Are Interested In At UC Santa Barbara:
(Determines Coach that will receive this form)




PERSONAL
Full Name:
Preferred Name:
Social Security No.:
Home Address:
City:
State/Province:
Zip/Postal Code:
Country:
Home Phone:
Cell Phone:
Fax:
E-Mail:
Age:
Date of Birth:
Height:
Weight:
Father's Name:
Father's Occupation:
Father's Business Phone
Mother's Name:
Mother's Occupation:
Mother's Business Phone

HIGH SCHOOL/PREVIOUS SCHOOL
Present School:
Graduation Date (Month/Year):
School Address:
City:
State/Province:
Zip/Postal Code:
Country:
Intended Major:
Class Rank/Size:

GPA:

SAT Reading:

SAT Writing:
SAT Math:

SAT Total:
ACT:

Scholastic Honors:

ATHLETICS
High School Coach:
High School Coach's Phone:
Summer/Club Team:
Summer/Club Coach:
Summer/Club Coach's Phone:

Best Marks/Times:

Please List Your Stats/Best Times:

Relatives Who Have Attended UCSB: