UNIVERSITY OF CHICAGO
FOOTBALL

PERSONAL INFORMATION
FIRST NAME  
LAST NAME  
ADDRESS  
 
CITY  
STATE  
ZIP  
HOME PHONE  
CELL PHONE  
EMAIL  
DATE OF BIRTH  
ETHNICITY  
MOTHER'S FIRST NAME  
MOTHER'S LAST NAME  
MOTHER'S EMAIL  
MOTHER'S ALMA MATER  
MOTHER'S OCCUPATION  
FATHER'S FIRST NAME  
FATHER'S LAST NAME  
FATHER'S EMAIL  
FATHER'S ALMA MATER  
FATHER'S OCCUPATION  
SIBLINGS  
OTHER SCHOOLS INTERESTED  

ACADEMIC INFORMATION
HS/JC NAME  

GRADUATION YEAR  
LEVEL  
HS/JC ADDRESS  
 
HS/JC CITY  
HS/JC STATE  
HS/JC ZIP  
HS/JC PHONE  
CLASS RANK  
GRADE POINT AVERAGE  
ACT  
SAT MATH  
SAT CRITICAL READING  
SAT WRITING  
SAT TOTAL  
INTENDED MAJOR  
ACADEMIC HONORS  
GUIDANCE COUNSELOR'S FIRST NAME  
GUIDANCE COUNSELOR'S LAST NAME  
GUIDANCE COUNSELOR'S EMAIL  
GUIDANCE COUNSELOR'S WORK PHONE  

ATHLETIC INFORMATION
HS/JC COACH'S FIRST NAME  
HS/JC COACH'S LAST NAME  
HS/JC COACH'S EMAIL  
HS/JC COACH'S CELL PHONE  
HS/JC COACH'S WORK PHONE  
PREFERRED COLLEGE POSITION  
HEIGHT  
WEIGHT  
HS JERSEY NUMBER  
OTHER SPORTS PLAYED  
ATHLETIC HONORS  
40 TIME  
VIDEO AVAILABLE?  
ONLINE VIDEO LINK  
PLEASE CERTIFY THAT YOU ARE A HIGH SCHOOL JUNIOR OR SENIOR, OR ARE A CURRENT COLLEGE STUDENT   Yes, it is AFTER September 1st of my Junior year of high school.
No, it is BEFORE September 1st of my Junior year of high school.