Drury University

Athletic Questionnaire - Men's Golf

Kellen Mast, Head Coach
Email: kmast@drury.edu
Phone: 417-873-3756
Fax: 417-873-7510


Last Name:
First Name:
Middle Name:
Home Phone:
Cell Phone:
Address:
City:
State:
Zip:
SSN#
Gender:
Date of Birth (mm/dd/yy):
E-mail:
Father's Name:
Day Phone:
Father's Occupation:
Mother's Name:
Day Phone:
Mother's Occupation:
List any friends or relatives that have or are attending Drury.

Academic Information
High School or Junior College:
Address:
Guidance Counselor
School Phone:
Graduation Year:	Month: Year:
Intended Major:
GPA(4.0 scale):
Class Rank:	/
PSAT:
Date Taken:(mm/dd/yy)	/ /
ACT:
Date Taken:	/ /
SAT:
Date Taken:	/ /
TOEFL(Foreign students only):
Date Taken:	/ /

Athletic Information
Coach:
Coach's Phone:
Age:
Height:
Weight:
Dominant Hand:
Current Handicap:
Position on Team:
Previous District/ State Rankings:
Honors and Recognition (Regionals, Nationals, etc)
Other schools you are considering: