Questionnaire

Father's Name		Father's Occupation
Father's Employer		Father's Home Phone
Father's Work Phone		Father's Phone
Father's Email		Father's College
Mother's Name		Mother's Occupation
Mother's Employer		Mother's Home Phone
Mother's Work Phone		Mother's Phone
Mother's Email		Mother's College
I Live With		If Other
The names and ages of my siblings are
Marital Status		Family member that participated in collegiate/professional sports
What sport?
Something we should know about you
Marital Status

Club Team Name
Coach First Name		Coach Last Name
Coach Work Phone		Coach Cell Phone
Coach Email		Alma Mater
My top priorities in choosing a college program are:
1.
2.
3.
The students and alums I know are:
My favorite hobbies are:
The person that will help me choose a college is:
The 5 schools I plan to visit or are most interested in attending are:
1.
2.
3.
4.
5.
Rate you Interest Level in PHS Academy
	Transcript Release I authorize the release of my transcript and test scores to PHS Academy.