Prospective Golfer's Questionnaire

Fill out the following information and it will be sent directly to Coach Anderson.

You can then fill out an online application or browse the Missouri Valley College website.

Personal
Name
Age      Birthdate
Home Address

City:

State: Zip:

Phone Number
Cell Phone
Height     Weight
Email Address
Father's Name
Father's Phone Number
Mother's Name
Mother's Phone Number

Academic
High School
GPA       Date of Graduation
Guidance Counselor
Counselor's Phone Number
Class Rank out of
Academic Test Taken (ACT/SAT) Score
Academic Area of Interest

For Transfer Students Only
School      
Phone Number
School Address
     Will you graduate? Yes No


Date of Graduation      
Hours Completed      
GPA

General Athletic Information
Other high school sports you paticipated in

Team Accomplishments
Individual Honors,Awards, etc.

Athletics
How many years have you been playing golf?
Average: 9-hole score 18-hole score
Do you have an established handicap? Yes No
What is your handicap?
On average, how many times a week do you play in the summer?

What are the names of the courses you play the most?


Is it slope rated?
What is the rating?

List any golf awards and/or top 5 tournament finishes:

Coach's name Phone
School free period