USMMA Recruiting Questionnaire
*Name (First & Last):  
*Date of Birth:  
Mother's Name:  
Father's Name:  
Phone Number:  
Cell Number:  
*Street Address:  
*Zip Code:  
Email Address:  
IM Address:  
Intended College Major:  
*High School:  
School Street Address:  
*School City:  
*School State:  
School Zip Code:  
*Expected Date of Graduation:  
Class Rank:  
SAT/ACT Math Score:  
SAT/ACT Verbal Score:  
Algebra Grade Received:  
Algebra II Grade Received:  
Geometry Grade Received:  
Trigonometry Grade Received:  
Calculus Grade Received:  
Chemistry Grade Received:  
Physics Grade Received:  
High School Coach:  
Coach Home Phone:  
Coach Work Phone:  
AAU/Club Team:  
AAU/Club Coach:  
AAU/Club Coach Home Phone:  
AAU/Club Coach Work Phone:  

Do you have asthma, color blindness or any other physical ailments?

How did you find out about us?

Do you know anyone who has attended or is attending Kings Point? Who?

Other Colleges you are conbsidering?

Any other pertinent information?

Family members with Military history/experience?



* = Required Field