JCPA Questionnaire

JCPA Questionnaire
Contact Information
Your Name

First NameLast Name
INTEREST
Date of Birth
Graduation Year
Main Sport
Primary Position
Height
Weight
40 Yard Dash
High School/College
City
State
Are you registered at NCAA Eligibility Center? If not, please register at www.web3.ncaa.org
NCAA Certification #
N/A if not registered
NCAA CERTIFICATION STATUS
CORE GPA
OVERALL GPA
Intended Major
School Information
D1, D2, NAIA Schools That Offered YOU
D1, D2, NAIA Schools that are Interested in YOU
Name 5 schools where you would like to play at
Your E-mail
Your Twitter
example@example.com
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Cell Phone

Area CodePhone Number
Evening Phone

Area CodePhone Number
Father/Guardian Name
Mother/Guardian Name
Father/Guardian Cell Phone
Mother/Guardian Cell
Father/Guardian Email
Mother/Guardian Email
Coach's Information
Coach's Name
Coach's Contact Number
Coach's Email
Football
Primary Football Position(s)
Secondary Football Position(s)
Track
Primary Track Position(s)
Secondary Track Position(s)
Wrestling
Wrestling Primary
Wrestling Secondary
Mens Basketball
Primary Basketball Position(s)
Secondary Basketball Position(s)
Ice Hockey
Primary Ice Hockey Position(s)
Secondary Ice Hockey Position(s)
Academic History
Did you take SAT? If not, when?

Other
Did you take ACT? If not, when?

Other
SAT Math
SAT Verbal
SAT Writing
SAT Total
ACT Score
Additional Information/Comments/Questions
Highlight Link
Athletic Honors
Other Varsity Sports Played and Accolades
Most Noteworthy Stat
Comments/ Questions
What JCPA representative recruited you?
Should be Empty:

JCPA Questionnaire

Contact Information

School Information

Coach's Information

Football

Track

Wrestling

Mens Basketball

Ice Hockey

Academic History

Additional Information/Comments/Questions