UIC Athletic Alumni
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Recruiting Questionnaire

Mike Nall - Assistant Coach/Recruiting Coordinator
Phone: (312) 355-1757
Fax: (312) 996-8349
miken@uic.edu

Please fill out questionnaire as complete as possible.

Date

Personal Information
Last Name

First Name

M.I.

Street Address

Apartment/Unit #

City

State

Zip

Graduation Year

Phone

E-mail Address

Cell Phone

Date of Birth

Do you check your email regularly?
Yes
No

Do you use text messaging with your cell?
Yes
No

Father's Name

Father's Occupation

Mother's Name

Mother's Occupation

Siblings' Names & Ages

Academic Information
High School

Street Address

City

State

Zip

Phone

Class Rank (xx of xx)

GPA (please list scale)

Guidance Conselor's Name

SAT Date

SAT Scores - Comp.

SAT Scores - E

SAT Scores - M

SAT Scores - R

SAT Scores - S & R

ACT Date

ACT Scores - Comp.

ACT Scores - E

ACT Scores - M

ACT Scores - R

ACT Scores - S & R

Junior College

City

State

GPA

Will you graduate?
Yes
No

Date of Graduation

Academic Advisor's Name

Academic Advisor's Phone

Athletic Information
Height

Weight

Bat

Throw

Best Position

Other Positions

Other Sports Played at the Varsity Level

HS Coach

HS Coach's Cell Phone

Summer Team

Summer Coach

Summer Coach's Cell

Summer Team Website

Additional Baseball Reference

Phone

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