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Men's Golf Recruiting Questionnaire

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Please complete the following form with all available information. Hit the SUBMIT button at the bottom to electronically submit. If submitting an application by mail, please type or print all answers and mail to address listed at the bottom.

Indicates a Required Field
Last Name:
First Name:
Middle Initial:
Social Security Number OR last four digits:
Email Address:
Date of Birth:
Street Address:
City:
State:
Zip:
Phone Number:
Meet Scoring Average (Last complete season):
Home Course (Name and City):
Current Handicap:
Name of your current head coach:
Coach's Phone Number:
Coach's Email Address:
Athletic Honors Received:
Name of your high school:
Cumulative Grade Point:
Class rank:
ACT Score (if available):
Graduation Date and Year:
Academic Interest Area(s):
Mother's Name:
Mother's Street Address:
Mother's City:
Mother's State:
Mother's Zip:
Mother's Phone Number:
Father's Name:
Father's Street Address:
Father's City:
Father's State:
Father's Zip:
Marital Status of Your Parents:
Married
Separated
Divorced
Deceased
Brothers & Sisters (Names & Ages):
Name / Signature:
Date:
Verification Code:
Questions or comments? Please email us at info@iowalakes.edu or call 712-362-2604 or 800-521-5054.
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