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Go Navy
Navy Men's Tennis Questionnaire

Personal Information

High School Graduation Date:
Name:
Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Email:
Birthdate:
Height:
Weight:
Dominant Hand:
Father's Name:
Father's Occupation:
Father's Phone Number:
Mother's Name:
Mother's Occupation:
Mother's Phone Number:
Race:
Native American Black Asian Pacific Islander White

Ethnicity(i.e. Cuban, Chinese, Latin American Hispanic, etc.):

Citizenship:

Native Born Naturalized Citizen Immigrant Alien Foreign National

If Foreign National List Country of Citizenship:

Academic Information

High School/Prep School:
ETS Code:
Address:
City, State:
County:
Zip:
Phone:
Area of Academic Interest:
G.P.A,On Scale of:
Class Rank-Class Size:
PSAT Score V: M: Date Taken:
SAT Score V: M: Date Taken:
ACT Score V: M: Date Taken:

When I graduate from High School in I expect to have completed the following courses:

ALGEBRA I:
ALGEBRA II:
GEOMETRY:
PRE CALCULUS:
PHYSICS:
CHEMISTRY:
Other math courses taken:
English (No. of years):

Tennis Information

Overall High School Record:
Position:
List any post season high school accomplishments:
Private Coach:
Phone:

List rankings of each particular year and number of your awards:

YearStateSectionNationalAwards
14 & under (1st year):



14 & under (2nd year):



16 & under (1st year):



16 & under (2nd year):



18 & under (1st year):



Nomination Information


U.S. Senator:
Date of Contact:
U.S. Senator:
Date of Contact:
U.S. Congressman:
District:
Date of Contact:
If you have a nomination, state your candidate number:
Is your mother or father on Active Military Duty or retired with 20 years of active service?

Medical Information

 
Do you wear glasses or contact lenses?
If yes, indicate to the best of your knowledge, your uncorrected visual examination readings:
Left:
Right:
With glasses, do your eyes correct to 20/20?
Are you color blind?

Extracurricular Activities

Please indicate here all non-athletic extracurricular activities in which you have participated.

In order to participate in Division I athletics, NCAA rules require you to be certified by the NCAA Initial Eligibility Clearinghouse. You may register through your high school guidance counselor.

Are you listed with the NCAA Clearinghouse?

Upon submission of this form, you will be redirected to the Navy Athletics home page.