Prospective Student-Athlete

Volleyball Questionnaire

PERSONAL BACKGROUND

First Name: Last Name:
Name you go by: Email Address:
Phone Number: Ethnic Origin (optional):
Street Address: City:
State: Zip:
Date of Birth (MM/DD/Year): Social Security #:    
Height:    Weight:  
Father's Name: Mother's Name:
Father's Occupation: Mother's Occupation:
Does either of your parents work at Washington University? Yes No
College Attended: College Attended:

ACADEMIC BACKGROUND (Please list Washington U. as one of the schools to receive your test scores.)

High School High School City:
High School State: High School Zip:
Coach's Name and Email Address: Home Phone:
Counselor's Name and Email Address: School Phone:
GPA: /4.0 Weighted?: Class Rank: / SAT-CR: SAT-M: SAT-W:
ACT Composite: Math: English: Reading: Science: Writing:
Honors or AP/IB Classes: Date of Graduation:
Senior Class Schedule:
Academic Honors:
Academic Interests:

1)

2) 3)
Other Colleges You are Interested In:

1)

2) 3)


ATHLETIC BACKGROUND

  Position:   High School #:     Junior VB #:     Preferred Collegiate #:
Volleyball Honors:
Club Name:  Club Coach:  Coach Phone: 
Other Varsity Sports Played: 
Other Athletic Honors:
Collegiate Athletic Goals:

Thank you for your time and interest. Please send an unofficial transcript and a skills tape, if available, to:
Rich Luenemann, Head Volleyball Coach
Washington University Athletics
Campus Box 1067
One Brookings Dr.
St. Louis, MO 63130
Phone: (314) 935-4713
Fax: (314) 935-5545
Email: luenemann@athletics.wustl.edu