Student-Athlete Evaluation Form

I, the student-athlete or parent, have attended Jack's Seminar:(required)

Yes

STUDENT-ATHLETE INFO

First Name:(required)

Last Name: (required)

Birth Date:(required)

Sex:(required)

Cell:(required)

Height:

Weight:

Email address(required)

ACADEMIC

High School:

Location:

Graduation Date:

GPA:

SAT:

ACT:

ATHLETIC

Top Sport:

Position:

Second Sport:

Position

Team you play in:

JV Team

Varsity

Varsity Starter

Off-season Club Team

Recognition:

All Conference

All County

All State

Have you had any contact from College Coaches?

Yes

How did you hear about us?

CONTACT INFORMATION

Parent's Names:

Home Address:

City, State, Zip:

Home Phone:

Father Cell Phone:

Father E-mail Address

Mother Cell Phone:

Mother Email Address:

Form Completed by:(required)

Are you serious about investing in your student-athlete's future and giving them every opportunity available?

Yes

How did you hear about us?(required)

School

Coaches

Facebook

Twitter

Instagram

Newspaper

Google

This field should be left blank

Please wait...

1(800) 242 0165

Get Connected

Twitter Update!

Student-Athlete Evaluation Form

Follow us on Twitter

Get Connected

Twitter Update!