UNIVERSITY OF ILLINOIS
WOMEN'S GYMNASTICS

The RED categories are required fields. The questionnaire won't send without the filling out of those questions.

PERSONAL INFORMATION

FIRST NAME  
MIDDLE NAME  
LAST NAME  
GRAD YEAR  
SS#  
BIRTHDATE  
HEIGHT  
ADDRESS  
 
CITY  
STATE  
ZIP  
HOME PHONE  
CELL PHONE  
EMAIL  
FATHER'S FIRST NAME  
FATHER'S LAST NAME  
FATHER'S OCCUPATION  
FATHER'S ADDRESS  
FATHER'S CITY  
FATHER'S STATE  
FATHER'S ZIP  
FATHER'S CELL PHONE  
FATHER'S WORK PHONE  
FATHER'S EMAIL  
MOTHER'S FIRST NAME  
MOTHER'S LAST NAME  
MOTHER'S OCCUPATION  
MOTHER'S ADDRESS  
MOTHER'S CITY  
MOTHER'S STATE  
MOTHER'S ZIP  
MOTHER'S CELL PHONE  
MOTHER'S WORK PHONE  
MOTHER'S EMAIL  

ACADEMIC INFORMATION

HIGH SCHOOL  

HIGH SCHOOL ADDRESS  
 
CITY  
STATE  
ZIP  
HIGH SCHOOL PHONE  
GUIDANCE COUNSELOR'S FIRST NAME  
GUIDANCE COUNSELOR'S LAST NAME  
GUIDANCE COUNSELOR'S WORK PHONE  
HIGH SCHOOL G.P.A.  
ACADEMIC INTEREST  
SAT CRITICAL READING  
SAT MATH  
SAT WRITING  
SAT TOTAL  
ACT  
CLASS RANK/OUT OF  
HAVE YOU REGISTERED WITH THE NCAA CLEARINGHOUSE?  
NCAA ELIGIBILITY CENTER ID NO.  
 

PLEASE NOTE THAT IF YOU HAVE NOT, YOU MUST DO SO AS SOON AS POSSIBLE.

ATHLETIC INFORMATION

NAME OF CLUB  
ADDRESS  
CITY  
STATE  
ZIP  
CLUB PHONE  
COACH'S FIRST NAME  
COACH'S LAST NAME  
COACH'S CELL PHONE  
COACH'S E-MAIL  
TOP 5 UNIVERSITIES OF INTEREST  

ATHLETIC HISTORY

COMPETITION LEVEL  
NO. OF YEARS AT THAT LEVEL  
GYMNASTICS RELATED OR CHRONIC INJURIES  
MEDICAL SURGERIES AND DATE THEY OCCURRED  
 

BEST PERFORMANCE IN COMPETITION

DATE  
LEVEL  
MEET  
VAULT SCORE  
BARS SCORE  
BEAM SCORE  
FLOOR SCORE  
AA SCORE  
DATE 2  
LEVEL 2  
MEET 2  
VAULT SCORE 2  
BARS SCORE 2  
BEAM SCORE 2  
FLOOR SCORE 2  
AA SCORE 2  
DATE 3  
LEVEL 3  
MEET 3  
VAULT SCORE 3  
BARS SCORE 3  
BEAM SCORE 3  
FLOOR SCORE 3  
AA SCORE 3  
DATE 4  
LEVEL 4  
MEET 4  
VAULT SCORE 4  
BARS SCORE 4  
BEAM SCORE 4  
FLOOR SCORE 4  
AA SCORE 4  
 

SKILLS UTILIZED IN COMPETITION

VAULT  
BARS  
BEAM  
FLOOR  
VAULT 2  
BARS 2  
BEAM 2  
FLOOR 2  
VAULT 3  
BARS 3  
BEAM 3  
FLOOR 3  
VAULT 4  
BARS 4  
BEAM 4  
FLOOR 4  
 

STILL WORKING ON

VAULT  
BARS  
BEAM  
FLOOR  
VAULT 2  
BARS 2  
BEAM 2  
FLOOR 2  
VAULT 3  
BARS 3  
BEAM 3  
FLOOR 3  
VAULT 4  
BARS 4  
BEAM 4  
FLOOR 4  
RECRUITING VIDEO LINK  
 

If you only have a DVD, please mail it to our office at: 1700 S. Fourth Street Champaign, IL 61820

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.