Women's Golf Student-Athlete Questionnaire

wgolf@duaa.duke.edu." tabindex="0">Please complete and submit the form below. Please send swing videos and tournament resume to wgolf@duaa.duke.edu.

Required Fields are in Bold

General

First Name:

Last Name:

Email Address:

Home Address 1:

Home Address 2:

City:

State:

Zip:

Country:

Contact Number:

Cell Phone Number:

Date of Birth (mm/dd/yyyy):

Background

Mother's Name:

Mother's Phone:

Mother's Occupation:

Father's Name:

Father's Phone:

Father's Occupation:

Siblings:

Academic

Graduation Year:

High School Name:

Address 1:

Address 2:

Address 3:

City:

State:

Zip:

Country:

Counselor's Name:

Counselor's Phone:

Counselor's Email:

Class Rank:

GPA:

SAT Math:

SAT Critical Reading:

SAT Writing:

SAT Total:

Probable Test Date If Not Taken:

PSAT:

ACT:

TOEFL:

Academic Honors:

Intended Major:

Other College Choices:

Academic Goals:

List any Honors, AP or IB courses you have taken:

Athletic

Are your results listed in NJGS or AJGA?

Additional Results (Event/Yardage/Score):

Home Course:

City, State:

Phone Number:

Golf Teacher:

Cell Phone Number:

Email Address:

Other Reference (non-family member):

Relationship:

Cell Phone Number:

Athletic Goals and Aspirations:

Do you have a swing video available?

How can we attain it (VI/Youtube/CD/DVD)?