Go Navy
Go Navy
Navy SQUASH Questionnaire

Date Completed:

Personal Information

Name:

Nickname:

Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Social Security Number:
Email:
Birthdate:
Birthplace:
Father's Name:
Father's Occupation:
Father's Phone Number:
Father's College:
Mother's Name:
Mother's Occupation:
Mother's Phone Number:
Mother's College:
I live with
Mother, Father, Both, or Other):

Ethnic Background:

 

White/Caucasian

Black/African American

Hispanic

American Indian/Alaskan Native

Filipino

Asian/Pacific Islander

Other

 

 

 

Are you a U.S. Citizen?
Do you wear glasses or contacts?
Do you have asthma?
Medications Taking:

Academic Information

High School/Prep School:
Address:
City, State:
County:
Zip:
Phone:
Academic Interest:
G.P.A,On a Scale of:
Class Rank-Class Size:

PSAT Score V:

M: Date Taken:

SAT Score V:

M: Date Taken:

ACT Score V:

M: Date Taken:

Date of Graduation:

SQUASH Information

National Ranking:
Years Played:
High School:
Ladder position on team:
Tournament results:
Other sports:
Height:
Weight:
Coach:
Coach Cell Number:
Coach Office Number:
Coach E-mail address:
Coach's College:
Have you enlisted in the NCAA Clearinghouse?

Are you interested in the Academy?
(Very Much, Yes, or No):

Other colleges you are interested in:
Who will you look to for advice about colleges?
Do you have any relatives in the military?
(Yes or No-You may be eligible for a Presidential Nomination)

By submitting this questionnaire you hereby authorize the release of your academic transcript to the U.S. Naval Academy. You will then be redirected to the Navy Athletics home page.

This questionnaire is for evaluation purposes by our coaching staff. It is not an application for admission to the Naval Academy. It you desire to become a candidate for admission we recommend that you complete the questionnaire for the admissions office at: www.usna.edu/Admissions/steps.htm