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Prospective Student Athlete Questionnaire - Men's Golf
Please fill in as much information as possible

Required Fields in Bold


Personal Information


Name (First, M.I., Last)

Street Address

City

State

Zip Code

Area Code and Telephone Number

E-mail

Birthdate (MM/DD/YY)

Height

Weight

Father's Name

Mother's Name

Siblings' Names

Do you or any of your family members have any affiliation with the University of Virginia and, if so, how?

Academic Information


High School

High School Address (Street)

High School Address (City)

High School Address (State)

High School Address (Zip)

High School Counselor

Counselor's Phone Number

High School Graduation Year

High School Grade Point Average

PSAT

SAT II

ACT

SAT Verbal

SAT Math

SAT Writing

Applied to NCAA Clearinghouse?
Yes
No

Desired Major

Academic Information


High School Coach

High School Coach Phone Number

Professional Instructor

Pro's Phone Number

Do you have a video tape of your golf swing?
Yes
No

What is your handicap?

What is your average 18 hole tournament score over the last year?

Please list your upcoming tournaments, including date, event name, course name, city, and state.

What are the top three attributes you are seeking in a golf program?

What are your top five accomplishments in golf?

In order of priority, what are your top five university choices at this time?

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jwhite@virginia.edu

A 1985 graduate of UVA, White worked at the Richmond Times-Dispatch until July 2009. He was honored six times as the state's Sportswriter of the Year.

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