Whitworth University Athletics Questionnaire

Athletics

Men's Soccer Questionnaire

Head Coach: Sean Bushey
(509) 777-4385
sbushey@whitworth.edu; General Information
First Name (required)
Middle Initial
Last Name (required)
Address (required)
City (required)
State (required)
ZIP/Postal Code (required)
Phone Number (required): ()
E-mail (required)
Birthdate (required): / /
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)
High School ZIP/Postal Code (required)
High School Graduation Date (required): /
SAT/ACT Score
High School GPA
College Attended
College GPA
Received A.A. Degree?: NoYes
Possible Major
When do you plan to start attending Whitworth? (required): /; Athletic Information
High School/College Coach's Name
High School/College Coach's E-Mail
High School/College Coach's Work Phone: ()
High School/College Coach's Home Phone: ()
Years Acquainted With High School/College Coach
High School/College Coach's Expertise Level: HighMediumLow
Are videotapes available from the highschool/college coach?: NoYes
High School Jersey Number
Club's Name
Club Coach's Name
Club Coach's E-Mail
Club Coach's Work Phone: ()
Club Coach's Home Phone: ()
Years Acquainted With Club Coach
Club Coach's Expertise Level: HighMediumLow
Are videotapes available from the club coach?: NoYes
Club Jersey Number
Positions played most often in the last four years:: Back/DefenseMidfieldForwardGoalkeeper
Field Location: LeftRightCenter
Dominant Leg: LeftRightEqual
Height
Weight
Time in 40 yds:
Time in 100 yds:
Time in 440 yds:
Time in 1 mile:
Vertical Jump
Olympic Development Program Experience
Other schools that have contacted you:
Other Sports Participated In: 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: HighMediumLow