College of Staten Island Athletics

Recruiting Questionnaire

NCAA rules and regulations prohibit coaches from sending letters or electronic mail to high school students until after September 1st of their junior year in high school. This form is not an official university application.

Personal Information

Name:

Address:

City:

State:

Zip:

Country:

Telephone:

Email:

Age:

Date of Birth:

Academic Information

Name of High School:

High School Graduation Year:

Academic Interest:

High School Grade-Point Average:

Current Grade-Point Average:

Class Rank: of

SAT Score (verbal and math):

ACT Score:

Academic Honors:

Athletic Information

Sport you are interested in at CSI:

Height:

Weight:

Current School:
(if different from high school)

Letters won in this sport:

Coach's Name:

Coach's Phone:

Coach's Email:
Position/Event:

Career Statistics (include personal best times):

All-Conference honors in career (first team as a junior, etc.):

Other Athletic Honors in Career (all-state, all-area, etc.):

Other Honors:

Team Highlights in career:

Club, AAU or other organized playing experience:

ODP:

Please type the value in the box: