PROSPECTIVE CLIENT QUESTIONNAIRE

The JKnowlesGolf Junior Mentorship Application

Player Information

Name

First Last

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Gender

Male
Female

Graduation Class

Cell Phone

Player Family Information

Father’s Email

Mother’s Email

College Father Attended

College Mother Attended

Graduation Year

Email

Address

City State / Province / Region ZIP / Postal Code Country

Date of Birth

Home Phone

Father’s Name

Father’s Cell Phone

Mother’s Name

Mothers Cell Phone

School Information

High School Name

GPA

SAT Math

SAT Critical Reading

SAT Writing

Composite SAT Score

TOEFL Int. Students Only

When did you begin the 9th grade?

What are the five most important criteria you will use during the college selection processs?

Golf Information

Please include golf course or facility for each teacher.

Swing Instructor

Trainer

Other Coach

Putting Short Game Instructor

Mental/ Sports Psychologist:

Golf Accomplishments in the past 24 months (date/tournament/scores/finish)

What year did you begin to participate in competitive (regional/and or national multi-day) junior golf tournaments?

Top Five College Choices

List Upcoming Scheduled Tournaments

Do you currently have a college profile (academic/ golf) for coaches to review online. What is the web address?

Swing Instructor

AJGA member?

Registered NCAA Clearinghouse?

I am interested in learning more about the following program:

Please indicate who to call along with best form of contact

Would you like to receive a follow-up phone call from JKnowles?

General comments

How did you hear about the Jonathan Knowles Mentorship Program: