Northern State Football Questionnaire

Personal Information
Full Name
Social Security #
Date of Birth (mm/dd/yyyy)
Street Address
City
State
Zip
Home Phone
Cellular Phone
Father's Name
Occupation
College Attended
Mother's Name
Occupation
College Attended
# of Family in College
Brothers/Sisters (Ages)
Athletic Information
Height
Weight
40-Yard Dash Time
Bench
Squat
Jersey Number
Awards
Position(s)
Preferred College Position
Other Sports Played in H.S.
H.S./J.C Head Coach
Coach Phone #
Academic Information
High School/Junior College Attended
City
State
ACT/SAT Score
GPA
Class Rank/No. in Class
Intendend Major(s)
Graduation Date 

Your E-mail address*:
 *This is a REQUIRED FIELD. If you do not have an e-mail address, 
type in your last name with NO SPACES!

Extra Information:

Hitting "Send" will e-mail the form directly to NSU's Football program.
Hitting "Clear" will clear the form and not send it anywhere.
Thanks for your interest in Northern State Football!

 

 
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