Men's Golf Recruiting Questionnaire

Thank you for your interest in the Bison men's golf program! Please fill out the information below as completely as possible. Your responses will be sent directly to head coach Michael Binney at mwb013@bucknell.edu.

Required Fields in Bold


Personal Information

	First Name

	Middle Name

	Last Name

	Cumulative GPA

	Preferred Name

	Country

	Home Address (include city, state, zip)

	High School Graduation Year



	Date of Birth

	Email Address

	Home Phone

	Cell Phone

	Skype

	Google Talk

	Facebook Page

	Twitter

	Instagram


Parent(s) Info

	Mother's Name (First/Last)

	Mother's Address (if different than above)

	Mother's Occupation

	Mother's Email Address

	Mother's Cell Phone

	Mother's College

	Do you live with your mother (Y/N)?

	Father's Name (First/Last)

	Father's Address (if different than above)

	Father's Occupation

	Father's Email Address

	Father's Cell Phone

	Father's College

	Do you live with your father (Y/N)?

	Siblings (name and ages)

	Who are the most influential people in your life?


Academic Information

	Name of High School

	High School Address

	High School Phone Number

	High School Fax Number

	Counselor's Name

	Counselor's Phone Number

	Counselor's Email Address

	SAT Test Date

	SAT Reading

	SAT Math

	SAT Writing

	SAT Composite

	ACT Test Date

	ACT Composite

	TOEFL

	Class Rank (x of x)

	Intended Major

	Have you joined the NCAA eligibility center (Y/N)?

	Eligibility ID#


Golf Information

	Height

	Weight

	Home Course

	Golf Pro/Swing Coach Name

	Golf Pro/Swing Coach Phone Number

	Golf Pro/Swing Coach Email Address

	Low Round (Overall and in relation to par)

	Tournament scoring average in 12 months

	List career highlights (top tournament finishes, awards, etc.)

	Swing video link 1

	Swing video link 2