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Athletic Questionnaire

We are pleased that you are interested in the athletic programs at Tusculum College! Please fill out all fields that apply. Improperly filling out this form may cause it to not submit properly.

You may also download a copy of the Tusculum College Athletic Questionnaire.

* Sport(s)  [please choose all that apply]
 Basketball (Men's)
 Basketball (Women's)
 Cross Country
 Golf (Men's)
 Golf (Women's)
 Lacrosse (Men's)
 Lascrosse (Women's)
 Soccer (Men's)
 Soccer (Women's)
 Tennis (Men's)
 Tennis (Women's)

Personal Information

Full Name:    
Preferred Name:    
Mailing Address:
Zip Code:
Province: (if outside US)
Telephone number:  (Include area code. Ex: 423-636-7300)
Email address:

Parents' Name(s):
Parents' Address:
Parents' Phone:
Father's Occupation:
Mother's Occupation:
Brother(s) and/or Sister(s):
Religious Affiliation [optional] :

Name of High School or Junior College Attended:
High School or Junior College web site address:
Name of coach (full name):
Coach's phone number (school):
Coach's phone number (home):

Year in school: 

SAT/ACT Score:
IMPORTANT!: Only use the MATH and VERBAL composite for SAT scores. Do not include the score for the Essay portion of the test.

Intended Major at Tusculum College:

Term you wish to enter Tusculum College:

Your Age:
Date of Birth: - -   [ Ex. January 05, 1981 ]


40YD Time:
60YD Time:
Vertical Leap:
Bench Press:

Position(s) you play:

Current/Previous Season's Stats:

List any Honors/Rankings:

List other sports in which you have participated:

Schedule(s) Available? Yes   No

Video(s) Available? Yes   No

Name of Local Media:

Name of High School Counselor:

NCAA Clearinghouse Registered? Yes   No

FAFSA Completed? Yes   No
Date Submitted: - -   

Tusculum College students/alumni whom you know:

List Other Schools Recruiting You:


Questions concerning the athletic question should be sent to

© 2005-2006 Tusculum College | Telephone: 1.800.729.0256 | email: