Prospective Student-athlete Questionnaire (Field Hockey)
Thanks for your interest in Columbia Field Hockey. We appreciate your taking the time to complete our questionnaire so we can get to know you better.

Required Fields in Bold

Personal Information

First name:
Middle Initial:
Last Name:
Preferred Name:
Home Address:
Home Address (cont.):
ZIP/Postal Code
Home Phone:
Mobile/Cell Phone:
E-mail Address:
Date of Birth (MM/DD/YYYY):
Are you a U.S. Citizen?
Ethnicity (optional):
Family Information

Father's Name:
Father's Occupation
Father's Employer
Father's Work Phone:
Mother's Name:
Mother's Occupation:
Mother's Work Phone:
With whom do you reside?
Please list names and ages of your brothers and/or sisters (if any):
Academic Information

High School:
Current Grade Level:
Year of High School Graduation:
School Main Telephone Number:
School Address:
School Address (cont.)
ZIP/Postal Code:
Guidance Counselor Name:
Grade Point Average (GPA):
Class Rank:
Number of Students in Class:
PSAT Score (Verbal/Math):
SAT Score (Verbal/Math/Writing):
ACT Score:
SAT Subject Test (Subject/Score):
SAT Subject Test (Subject/Score):
SAT Subject Test (Subject/Score):
Intended college major (if known):
Other academic interests:
Athletics Information

Primary Sport Interest

If you compete for a nationally recognized club or amateur program instead of (or in addition to) your high school team, please enter the name and address here:
Coach's Name:
Coach's Phone Number:
Enter any relevant awards, rankings, statistics and/or personal best records:
Please list any field hockey camps that you have attended (include dates):
Other Sports and Athletics Experience:
Other Information

Which undergraduate school(s) at Columbia University are you considering? (check all that apply)
Barnard College
Columbia College
Fu Foundation School of Engineering and Applied Science
School of General Studies
Which other colleges and universities are you considering?
Do you plan to apply for financial aid?
Don't Know
Are you interested in applying early decision?
Don't Know
Do you have any friends or relatives who have attended Columbia University? (please list name and relationship to you):
Describe any significant academic or employment-related accomplishments (including awards, National Honor Society, clubs, publications, community service, etc.):
Please use the space below for comments and questions:
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