The Ohio State University s9

THE OHIO STATE UNIVERSITY

VARSITY RIFLE TEAM QUESTIONNAIRE

Please print legibly or type, add sheets as needed.

Are you interested in an academic and athletic career at The Ohio State University? Yes No

Name:

Address

City State Zip Country

Birth Date Month Day Year Gender Male Female

Home Phone Cell Phone

E-Mail

Name of parents or guardian:

High School:

Address:

City: State: Zip: Country:

High School Code number: ______School Phone: ______

HS Counselor:

Present HS Class (circle) Freshman Sophomore Junior Senior Collegiate Transfer

Fill in if known: ACT: _____, SAT _____, GPA _____, Class Rank ______of ______

HS graduation date ______

Notes: To be eligible for one of five allowable official visits the school must have a transcript and SAT or ACT score on file. Also application should be made to the NCAA Clearing house early in order to track your high school record and know if you are on track before your senior year.

If you are currently attending a four year college The Ohio State University will have to request and receive permission from your Athletic Director before we can discuss a possible transfer. You may return this questionnaire regardless of your status.

Please list all shooting teams and or clubs in which you are a member and include the name of your coach:

Note: You may add more sheets if needed

Name: ______

Notes: Please list best scores and make extra copies of this sheet if needed:

Please Mark if completion level was Local - State - National or International and indoor or outdoor.

3-Position Air Rifle