If you are interested in participating in a varsity sport at Texas A&M - Corpus Christi, please feel free to fill out the following biographical questionnaire. Once submitted, this questionnaire will be automatically e-mailed to the head coach of the sport you select. A member of the coaching staff will then contact you at his or her earliest convenience.

Thank you for your interest in Islanders Athletics.

* - Required Field

CONTACT/PERSONAL INFORMATION

Full Name: First*: MI*: Last*:

Home Address*:    (Street & Unit# if applicable)
            City*:     State*:      Zip*:
            Country: (if other than USA)

Temporary Address:    (Street & Unit# if applicable)
            City:     State:      Zip:
            Country: (if other than USA)

Cell Phone: Home Phone:
Reliable Email*:

Height*: Weight*: Date of Birth*: (mm/dd/yyyy)

Mother's Name: Mother's Phone:
Father's Name: Father's Phone:

ACADEMIC INFORMATION

Date you plan to begin college: (mm/yyyy)
Intended major:

Test Scores (Complete all that apply):
PSAT Math:     PSAT Verbal: Date Taken:
SAT Math:      SAT Verbal:    Date Taken:
ACT Math:      ACT Verbal:    Date Taken:

High School/Junior College*:
School Address:
City: State: ZIP:
Country (if other than USA):

Anticipated Graduation Date: (mm/dd/yyyy)

Guidance Counselor:
GPA: Class Rank:
Academic Honors:

ATHLETIC INFORMATION

High School/Junior College Coach:
Coach's Phone Number: Office: Home/Cell:
Coach's Email:

Club Name: Club Coach:

Coach Phone: Office: Home/Cell:

Club Coach Email:

Club Website: Club Director/Phone:

Upcoming Club Tournaments:

ODP State Level (Years):

ODP Regional Level (Years):

Position(s): Jersey #: Dominant Foot:

Have you initiated the process with the NCAA Eligibility Center (if applicable):
Yes No
If not, please do so by clicking here.

Do you have videotape available?
Yes No

Additional Athletic Information: