Dear Student - Athlete,

At West Texas A&M, our football program places emphasis on young men who excel not only on the field, but also in the areas of trust and character, as well. Please complete this questionnaire and submit it to us as soon as possible.

Thank you,
WTAMU Football Staff

Personal

First Name

MI

Last Name

Nickname

Date of Birth

Address

City

State

Zip

Home Number

Cell Number

Best Time to Call

E-mail

Father's Name

College Attended

Father's Occupation/Employer

Mother's Name

College Attended

Mother's Occupation/Employer

Living With

Mother
Father
Both

Number of Siblings

Age of Siblings

Contacts with WTAMU (friends, relatives, others)

Who is the most influential person in your life?

School Information

High School

City/State/Zip

Principal

Counselor

Texas Grant Qualifier

Yes
No

High School Football Coach

Office #

Registered with NCAA Clearing House

Yes
No

GPA

SAT

ACT

PSAT

Class Rank

Graduation Rank

Athletic Information

Jersey #

Age

Height

Weight

40 Time

Bench

Squat

Vertical Jump

Offensive Position:
Defensive Position:
Special Teams:

Athletic Honors