Prospective Student/
Athlete Questionnaire
Personal Information
Name:
(Last)
,
(First)
(Middle)
Gender:
Male
Female
Date of birth:
(mm/dd/yyyy)
Email:
Home phone:
Cell phone:
Home
address:
(Street)
(City)
(State)
Alabama
Alaska
Alberta
American Samoa
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Mariana Islands
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
Northwest Territories
Nova Scotia
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon Territory
APO ZIP's 090-098
APO ZIP's 340
APO ZIP's 962-966
(ZIP)
Father:
Occupation:
Email:
Work phone:
Mother:
Occupation:
Email:
Work phone:
Siblings
at home:
Siblings
in college:
List any relatives or friends associated with Azusa Pacific:
Academic Information
High school:
Graduation date:
Address:
(Street)
(City)
(State)
Alabama
Alaska
Alberta
American Samoa
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Mariana Islands
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
Northwest Territories
Nova Scotia
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon Territory
APO ZIP's 090-098
APO ZIP's 340
APO ZIP's 962-966
(ZIP)
Grade-point average:
Anticipated major:
Undecided
Accounting
Applied Health
Art
Athletic Training
Biblical Studies
Biochemistry
Biology
Business Administration
Business Economics
Chemistry
Christian Ministries
Cinema and Broadcast Arts
Communication Studies
Computer Information Systems
Computer Science
Economics
English
Finance
Global Studies
Graphic Design
History
International Business
Journalism
Marketing
Math/Physics
Mathematics
Music
Nursing
Performance
Philosophy
Physical Education
Physics
Political Science
Pre-Allied Health and Pharmacy
Pre-Engineering
Pre-Law
Predental/Premedical
Psychology
Social Science
Social Work
Sociology
Spanish
Teaching
Theater Arts
Theology
Youth Ministry
Previous colleges
(junior college and four year)
:
Address:
(Street)
(City)
(State)
Alabama
Alaska
Alberta
American Samoa
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Mariana Islands
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
Northwest Territories
Nova Scotia
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon Territory
APO ZIP's 090-098
APO ZIP's 340
APO ZIP's 962-966
(ZIP)
Previous colleges
(junior college and four year)
:
Address:
(Street)
(City)
(State)
Alabama
Alaska
Alberta
American Samoa
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Mariana Islands
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
Northwest Territories
Nova Scotia
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon Territory
APO ZIP's 090-098
APO ZIP's 340
APO ZIP's 962-966
(ZIP)
SAT:
(Verbal)
(Math)
ACT:
Class rank:
/
Academic awards:
Volleyball-Specific Questions
Primary Position:
Standing Reach:
Height:
Block Touch:
Approach Touch:
Club:
(Team)
(Coach)
(Phone)
High school honors received:
Club honors received:
Hobbies:
Have you applied for financial aid?
Other schools you are considering: