If you're a high school student interested in attending and playing golf for Moravian College, please take a few minutes to fill out the following questionnaire. All responses are forwarded directly to the Moravian College golf coach and are held in strict confidence.
1. Personal info
Name: Address 1: Address 2: City: State: Zip: - Height: ' " Weight: Date of birth (mm/dd/yyyy):
Name: Address 1: Address 2: City: State: Zip: -
Height: ' " Weight:
Home Phone: - -
Cell Phone: - -
E-mail:
Parent/Guardian Name(s):
Mother's occupation:
Father's occupation:
2. Academic info
High School: High School County: High School Counselor: High School Phone: - - Graduation date: Month: January February March April May June July August September October November December Year: 2011 2012 2013 2014 2015 Grade average: SAT (new): Critical Reading: Math: Writing: If you have not taken the SAT's, when do you plan to? Month: N/A January February March April May June July August September October November December Year: N/A 2010 2011 2012 2013 2014 ACT Composite score: Class rank (approximate): out of class size Anticipated major: Undecided Accounting Art History Biology Business Management Chemistry Classics Clinical Counseling Computer Science Criminal Justice Economics Elementary Education Engineering English Experimental Psychology French Geology German Graphic Design History I/O Psychology Information Systems International Management Journalism Mathematics Medical Technology Music Music Education Natural Resource Management Nursing Occupational Therapy Philosophy Physical Therapy Physics Political Science Pre-Dentistry Pre-Law Pre-Medicine Pre-Ministry Pre-Veterinary Medicine Psychology Religion Secondary Education Sociology Spanish Studio Art Theatre and Drama Other Will you be applying for financial aid? Yes No Maybe Please list any academic honors, awards, etc:
High School:
High School County:
High School Counselor:
High School Phone: - -
Grade average:
SAT (new): Critical Reading: Math: Writing: If you have not taken the SAT's, when do you plan to? Month: N/A January February March April May June July August September October November December Year: N/A 2010 2011 2012 2013 2014 ACT Composite score:
Class rank (approximate): out of class size
Anticipated major: Undecided Accounting Art History Biology Business Management Chemistry Classics Clinical Counseling Computer Science Criminal Justice Economics Elementary Education Engineering English Experimental Psychology French Geology German Graphic Design History I/O Psychology Information Systems International Management Journalism Mathematics Medical Technology Music Music Education Natural Resource Management Nursing Occupational Therapy Philosophy Physical Therapy Physics Political Science Pre-Dentistry Pre-Law Pre-Medicine Pre-Ministry Pre-Veterinary Medicine Psychology Religion Secondary Education Sociology Spanish Studio Art Theatre and Drama Other Will you be applying for financial aid? Yes No Maybe Please list any academic honors, awards, etc:
3. Athletic info
High School coach: How many years have you lettered in golf? (varsity only): 0 1 2 3 4
Handicap: Average Score: Left-Handed Right-Handed Competitions Won: Do you have any available video you can send us? Yes No Do you plan to participate in any other sports in college? Yes No If so, please indicate the sport: Please list any athletic honors, awards, etc: (include All-Conference or All-League designations) Did someone recommend or refer you to Moravian College? Yes No Is this person a Moravian College alum? If yes, please provide his/her name:
Handicap: Average Score:
Left-Handed Right-Handed
Competitions Won:
Do you have any available video you can send us? Yes No
Do you plan to participate in any other sports in college? Yes No
If so, please indicate the sport:
Please list any athletic honors, awards, etc: (include All-Conference or All-League designations)
Did someone recommend or refer you to Moravian College? Yes No
Is this person a Moravian College alum? If yes, please provide his/her name:
PLEASE NOTE: You will be asked to review your information and confirm before submitting.