Athletics
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Football Questionnaire
Head Coach
John Tully
(509) 777-
4416
jtully@whitworth.edu
General Information
First Name
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Middle Initial
Last Name
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Address
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City
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AA (military)
AB (Canada)
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AK
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DE
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FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB (Canada)
MD
ME
MH
MI
MN
MO
MS
MT
NB (Canada)
NC
ND
NE
NH
NJ
NL (Canada)
NM
NS (Canada)
NT (Canada)
NU (Canada)
NV
NY
MP
OH
OK
ON (Canada)
OR
Other
PA
PE (Canada)
PR
PW
QC (Canada)
RI
SC
SD
SK (Canada)
TN
TX
UT
VI
VT
VA
WA
WI
WV
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YT (Canada)
ZIP/Postal Code
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Phone Number
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(
)
E-mail
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Birthdate
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Please Select Month
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Please Select Day
1
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Please Select Year
1998
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1965
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1963
1962
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1960
1959
1958
1957
1956
1955
1954
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1952
1951
1950
Other sports you wish to participate in at the college level:
Academic Information
High School Name
(required)
High School City
(required)
High School State
(required)
Please Select
AA (military)
AB (Canada)
AE (military)
AK
AL
AP (military)
AR
AS
AZ
BC (Canada)
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB (Canada)
MD
ME
MH
MI
MN
MO
MS
MT
NB (Canada)
NC
ND
NE
NH
NJ
NL (Canada)
NM
NS (Canada)
NT (Canada)
NU (Canada)
NV
NY
MP
OH
OK
ON (Canada)
OR
Other
PA
PE (Canada)
PR
PW
QC (Canada)
RI
SC
SD
SK (Canada)
TN
TX
UT
VI
VT
VA
WA
WI
WV
WY
YT (Canada)
High School ZIP/Postal Code
(required)
High School Graduation Date
(required)
Please Select Month
January
February
March
April
May
June
July
August
September
October
November
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Please Select Year
2013
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2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
SAT/ACT Score
High School GPA
College Attended
College GPA
Received A.A. Degree?
No
Yes
Possible Major
Please Select
Accounting
American Studies
American Studies
Applied Physics
Art
Arts Admin.-Music
Arts Administration
Athletic Training
Biology
Biophysics
Business Management
Chemistry
Communications
Computer Science
Cross Cultural Study - History
Cross-Cultural Study
Cross-Cultural Study
Economics
Elementary Education
Engineering Physics
English
French
Health, Fitness & Physical Ed
History
History
History/Social Studies
Interntl Business
Interntl Studies
Interntl Studies
Interntl Studies - History
Journalism
Liberal St: Humanities
Liberal St: Program Mgmt
Liberal St: Social Services
Marketing
Mathematical Economics
Mathematics
Music
Music Education
Nursing
Peace Studies
Peace Studies
Philosophy
Physics
Political Science
Political Studies
Pre-Athletic Training
Pre-Chiropractic
Pre-Dental
Pre-Engineering
Pre-Law
Pre-Medical Technology
Pre-Medicine
Pre-Ministry
Pre-Pharmacy
Pre-Veterinary
Psychology
Quantitative Analysis
Religion
Sociology
Spanish
Special Education
Speech Communication
Theatre
Theology
Undeclared
Athletic Information
High School Coach's Name
High School Coach's E-Mail
High School Coach's Work Phone
(
)
High School Coach's Home Phone
(
)
Current Coach's Name
Current Coach's E-Mail
Current Coach's Work Phone
(
)
Current Coach's Home Phone
(
)
Offense Position
Defense Position
Preferred College Position
Height
Weight
Jersey Number
Time In 40-Yard Dash
Bench Max
Squat Max
Other schools that have contacted you:
Football Honors Received
Other Information
Father's Name
Father's Occupation
Mother's Name
Mother's Occupation
List any friends or family who have attended Whitworth, and your relationship to them:
Other information you would like us to know:
Interest Level
High
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300 W. Hawthorne Road, Spokane, WA 99251
Campus Telephone: 509.777.1000
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