Football Prospective Student Questionnaire

Thank you for your interest in the Florida International University Golden Panthers. Your completed form will be forwarded to the football coaches for consideration. For more information on FIU Football, call (305) 348-4150.

Required Fields in Bold



	Full Name

	Mailing Address

	City, State & Zip Code

	Phone Number with Area Code

	Email Address

	Date of Birth

	Father's Full Name

	Father's Address/City/State/Zip Code

	Father's Occupation

	Father's Phone Number with Area Code

	Mother's Full Name

	Mother's Address/City/State/Zip Code

	Mother's Occupation

	Mother's Phone Number with Area Code

	Brothers and Sisters (Names and Ages)

	Friends/Relatives who are attending or have attended FIU.

	Who is the most influential person in your life?

	High School Name/City/State/Zip

	Coach's Name

	Guidance Counselor's Name

	School Telephone Number with Area Code

	Year of Graduation

	Grade Point Average (out of 4.0)

	SAT Score

	ACT Score

	Academic Interests

	Career Plans

	Height

	Weight

	40-yard time

	Jersey Number

	Offensive Positon

	Defensive Position

	Desired Position in College

	The NCAA permits a total of five official campus visits. If you had to choose today, which five schools would you like to visit?