JOHNS HOPKINS UNVIERSITY
Prospective Student-Athlete Form

Johns Hopkins University Athletic Recruiting Questionnaire
Sport You Are Interested In At Johns Hopkins (Determines Coaches that will receive this form):		Baseball M-Basketball W-Basketball M-Crew W-Crew Football M-Fencing W-Fencing W-Field Hockey M-Soccer W-Soccer M & W-Swim/Diving M & W-XC/Track & Field M & W-Tennis Volleyball M-Water Polo Wrestling
Your Social Security Number:
Your e-mail address:
Your age, HS Grad. Date:
Your First Sport:
The subject of your message:
Tell us something about yourself
Last Name:
First Name:
Middle Name:
Nickname:
For Track & Field and/or Cross Country, please indicate your gender:		Male     Female
Address:
City:
State or Country:
Zip Code:
Phone Number:
Date of Birth:
Height:
Weight:
Planned College Major:
Sport(s) you want to be recruited:
Tell us something about your family
Father's Name:
Occupation:
Alma Mater:
Business Phone/E-Mail:
Mother's Name:
Occupation:
Alma Mater:
Business Phone/E-Mail:
Brothers and Sisters (Name/Age):
Most influential person in your life:
Ethnicity:
Religion (Optional):
Your Academics
School:
Address:
City:
State or Country:
Zip Code:
SAT Score: Verbal:
SAT Score: Math:
ACT Score: Composite:
Academic Honors:
Year/Graduation:
Class Rank
GPA (4.0=A):
Guidance Counselor:
School Phone:
Languages you speak Fluently:
If Foreign, how many years of English have you taken?:
Non-Athletic Activities (Please Mark with a "X")
Boy's State
Student Body Officer
Class President
National Honor Society
Your Athletics
High School Coach:
Home Phone:
Club Coach:
Home Phone:
Club Name:
Football Only
40-Yard Dash Time
Jersey Number
Sports Goals/Background
What are your sport goals for the next four years?
Please list your specific best times, marks, stats, scores by event:
Please list your specific sport honors, awards, selections for scholarship consideration
Please list your one specific best sports performance:
Indicate any athletic records held, special honors in your sport:
Have Previously or Currently Attended another College/University? If Yes, What school?
What Have We Missed?  Use this space to add anything else your believe is pertinent to your application