* = Required

AIB EAGLES GOLF Athletic Interest Survey If you are a student/athlete and are interested in becoming an AIB Eagle, please complete this form with as much information as possible.

PERSONAL INFORMATION

* First Name Middle Name * Last Name

Preferred Name Date of Birth

* Permanent Address

* City * State * Zip Code

Home Phone Number Cell Phone Number E-mail Address

* Preferred method of contact (phone, e-mail, etc.)

ACADEMIC INFORMATION

* Name of High School * Graduation Year

School Address

City State Zip Code

Advisor's Name Phone/E-mail

Cumulative G.P.A. GPA Scale Class Rank Class Size

Tests Taken:

ACT

score

SAT

score

List any colleges previously attended:

College Dates Attended Degree (if applicable)

College Dates Attended Degree (if applicable)

Major(s) interested in at AIB

ATHLETIC INFORMATION

Coach’s Name Coach’s Phone/E-mail

Years Played (varsity only)

Average Score: 9-holes

Average Score: 18-holes