Xavier University athletics Student-Athlete Questionnaire
General Information
First Name:
Middle Name:
Last Name:
Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Graduation Date:
Date of Birth:
Social Security Number:
Height:
Weight:
E-Mail Address:
Nickname:
   
Academic Information
High School:
Address:
City:
State:
Zip:
Phone:
Guidance Counselor:
Cumulative GPA / Scale:
Class Rank / Size:
ACT Score:
SAT Score:
Possible College Major:
Academic Awards:
Hobbies / Interests
   
Athletic Information
Name of Sport # 1:
High School Coach:
Office Phone Number:
Home Phone Number:
Years Competed:
Statistics, Accomplishments, Awards and Honors:
Injuries:
   
Name of Sport # 2:
High School Coach:
Office Phone Number:
Home Phone Number:
Years Competed:
Statistics, Accomplishments, Awards and Honors:
Injuries:
   
Check all that Apply:
I have applied for admission to Xavier.
I plan to apply for admission to Xavier.
I need information about academic scholarships and financial aid.
 
Comments: