Mariner Athletics Recruiting Questionnaire

Thank you for your time in filling out our Athletic Recruiting Questionnaire. Please keep in mind that we may be republishing the information submitted in your responses.

Again, thank you for your time.

Sincerely,
Mariner Athletics.

Full Name


Nickname/Preferred Name


Address


City & State


Zip Code


Your Country
Select United States Afghanistan Albania Algeria Andorra Angola Anguill Antigua Antilles Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Burundi Belize Benin Bermuda Bhutan Bolivia Bosnia Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burma Burundi Caicos Islands Cambodia Cameroon Canada Cape Verde Caymans Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Congo Republic Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czechia Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Fiji Finland France French Polynesia Gabon Gambia Georgia Germany Ghana Greece Greenland Grenada Guadeloupe Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Haiti Iceland India Indonesia Iran Iran Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia – Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Micronesia Moldova Mongolia Montenegro Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Qatar Reunion Romania Russia Rwanda Saint Barthélemy Saint Helena Saint Kitts Saint Lucia Saint Martin Saint Pierre Saint Vincent Samoa San Marino Sao Tome Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands Western Sahara Yemen Zambia Zimbabwe

Phone


E-mail Address


Birthdate
January February March April May June July August September October November December 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 Earlier

Father's Full Name


Father's Occupation


Mother's Full Name


Mother's Occupation


Number of siblings


Parents Are?
Select One Married Divorced Separated

I Live with?
Select One Mother Father Both Other

If other, list here:


Do you have any family members that attended the College of Coastal Georgia? If so, list below:

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Academic Information

High School


High School's Address


City & State


Zip Code


Phone


Guidance Counselor's Name


Graduation Date
January February March April May June July August September October November December 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 Earlier

GPA


Have you taken your SATs?
Select One Yes No

If so, when?


Scores: Math


Scores: Verbal


Have you taken your ACTs?
Select One Yes No

If so, when?


Scores:English


Scores: Math


Have you taken the ASSET, COMPASS or ACCUPLACER test?
Select One Yes No

If so, when?


Scores:


What major(s) are you interested in?


List any academic honors

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Other College Information

Name of School


Address


City & State


Zip Code


Phone


Major


Years attended


Hours completed

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Athletic Information

Sport
Select One Men's Basketball Men's Cross Country Men's Golf Men's Tennis Women's Basketball Women's Cross Country Women's Golf Women's Tennis Women's Volleyball Women's Softball

List any Athletic Honors (Individual and Team)


Coach's Name


Coach's Phone


Your Height


Your Weight


Which is your dominant hand?
Select Right Left

Primary Position


Secondary Position


Do you have summer team/club experience?
Select Yes No

Name of summer league/club team


Name of summer league/club coach


Coach's Phone


Other College Coach


Other College Coach Phone


Video Available?
Select Yes No

Any additional information

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Additional Information

Have you applied through NAIA clearing house?
Select Yes No

Will you apply for financial aid?
Select Yes No

Have you applied to the College of Coastal Georgia?
Select Yes No

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