NavySports.com - Official Athletic Site for Navy Athletics

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:

Year	State	Section	National	Awards
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.

Personal Information

Academic Information

Tennis Information

Nomination Information

Medical Information

Extracurricular Activities