Recruiting Questionnaire - Central Georgia Tech Athletics

The form below is for use by prospective student-athletes who wish to play intercollegiate sports at Central Georgia Technical College. Please use this form to contact our coaching and sports information staff. Any information submitted in this form is voluntary and will be kept on file in the CGTC Athletics Department. Information will not be sold or released to third parties.

Email address *

First name *

Last name *

Prospective Sport at CGTC *

Men's Basketball Women's Basketball Football Men's Soccer Women's Soccer

Position (if applicable): *

Height *

Weight *

Date of Birth *

Academic Information

GPA *

SAT Scores: *

ACT Scores:

ACCUPLACER Scores: *

Intended Major *

Are you registered with the NCAA Clearinghouse? *

Yes No

Have you applied to Central Georgia Technical College? *

Yes No

Have you submitted your Free Application for Federal Student Aid (FAFSA)? *

Yes No

Name of High School *

Anticipated Graduation Date *

Name of Previous College (if applicable): *

Contact and Family Information

Father's Name

Home/Cell Phone

Mother's Name

Home/Cell Phone

Home Address *

State *

City *

ZIP *

For addresses outside the United States, please input your address here. *

Statistical Information

Coach's Name *

Coach's Office Phone/Cell Phone *

Coach's Email *

Club Team Name (if applicable)

Club Coach's Name

Club Coach's Phone:

Club Coach's Email:

Player Statistics (averages, percentages, points, times, etc.): *

Achievements and awards in your primary sport (MVP, all-conference, all-state, etc. Please name conference and state.): *

Include interesting facts about yourself that may not fit neatly into other categories. Be innovative!

* required field