Golf Questionnaire - Bethany College

General Information
*First Name

*Last Name

*Address (include city, state, & zip)

*City State/Province
*Zip Code Country

*Home Phone # Cell Phone #

*E-mail

*Date of birth (mo/day/yr) *Date of High School Graduation (mo/yr)

Parents Names/ Occupations/ Business Phone #

Academic Information
*Class Rank & GPA

SAT: Composite

ACT: Composite

*High School &/or College (include phone number):

Academic Interest Areas

Athletic Background
*Position on Team:

*Handicap & tournament stroke average:

*Coach's Name and Phone Number:

Best Tournament Performance (include location):

GHIN#

Interest Level
Please select the level that represents your present interest in Bethany

Other Colleges of Interest


	College Golf Prospective Student-Athlete Information Form NOTE:This form is not an official college application. This form will be used by the golf staff to help determine prospective student-athletes. Items marked with an asterisk* are required.
	General Information First Name Last Name Address (include city, state, & zip) City State/Province Zip Code Country Home Phone # Cell Phone # E-mail Date of birth (mo/day/yr) Date of High School Graduation (mo/yr) Parents Names/ Occupations/ Business Phone # Academic Information* Class Rank & GPA SAT: Composite ACT: Composite High School &/or College (include phone number): Academic Interest Areas Athletic Background Position on Team: Handicap & tournament stroke average: Coach's Name and Phone Number: Best Tournament Performance (include location): GHIN# Interest Level* Please select the level that represents your present interest in Bethany Other Colleges of Interest
	Bethany College 335 E. Swensson Street Lindsborg, Kansas 67456-1897 Telephone: 1-785-227-3311 or 3380 x 8113 Admissions Fax: 1-785-227-8993 Admissions Telephone: 1-800-826-2281 Copyright © 2006 Bethany College Last Modified: January 19, 2007