Recruiting Questionnaire

The form below is for the use of prospective student athletes who wish to play intercollegiate sports at Warner Pacific. Please use this form to contact our coaching staff and sports information department. Note: any information you submit is voluntary and will be kept on file in the Athletic Department. Information will not be sold or released to third parties.
Personal Information
Full Name (required):
E-Mail (required):
Sport you desire to play at WPC:
Gender:	Male Female
Height:
Weight:
Position:
Academic Information
Name of high school:
Anticipated graduation date:
Have you registered with the NAIA Eligibility Center?	Yes No
Coach's name:
Coach's office phone:
Coach's home/cell phone:
Coach's e-mail:
SAT score:
ACT score:
High School GPA:
Intended field of study or interest:
Previous college(s) attended:
Contact & Family Information
Home Address:
City:
State:
Zip:
For addresses outside the United States, please input your mailing address here:
Home Phone:
Father's Name:
Occupation:
Mother's Name:
Occupation:
Statistical Information
High school statistics, athletic and academic achievements; list stats and times pertinent to your sport
List other sports you played in high school
Complete if your sport has club participation (ODP, AAU, Junior Olympics, etc.)
Club Team:
Club coach's name:
Club coach's phone:
Club coach's e-mail:
(This field should remain blank.)
Warning: Frivolous abuse of this form will result in your IP address being logged, possible blockage from further submissions, and other action deemed necessary by the athletic department.