Questionnaire Instructions

Questionnaire instructions:

• Questionnaire needs to be downloaded (Microsoft Word document), save it on your computer, fill out and email it to us as an attachment.
• Please fill out the questionnaire with all requested information, as they affect our knowledge of you as a student and athlete and subsequently your chances of getting an athletic scholarship.
• Please fill out the questionnaire in English language.
• Provide as many details as possible. If you are unsure about an answer, feel free to explain.
• Unsuficiently filled questionnaires will be accepted, but will delay your application, a thing we definitely would like to avoid.
• Provided information will not be used for alternative purposes.

The following questionnaire is free and non-binding you to anything.

1. Personal Data

Choose from options/follow instructions
Title /

• Mr.
• Mrs.

First and Last name
Address
Country
Telephone/Cell
E-mail
Birth date / Write in following format – Month, day, year (e.g. December 22,1985)
Height / _ feet and __ inches
___ cm / conversion table from cm
Weight / ___ lbs
___ kg / conversion table from kg

1. Education data

Your status /

• High school student
• High school graduate
• Current university student
• Former university student

High School
Name / e.g. high school “Mate Balota”
High School Graduation / enter year of graduation (also enter future years)
High School Years / how many years of (high-) school have you/will you have finished when going abroad? (e.g. 11 or 12)
High School Overall GPA / _,__ / GPA = grade point average;
all 4 years of high-school apply
University / how many semesters of study have you finished when going abroad?
leave blank if you are not studying yet
University GPA / _,__ / GPA = grade point average;
all semesters apply;please enter "not applicable"if you are not studying
University subject area / only if you are already studying; otherwise leave blank
Desired study area in the USA / desired subject area in the USA (this can be changed at all times, “undecided” is just as good as any other answer)
When do you want to begin studies? / ______, ____ /

• Fall (August)

or Spring (January)

• year (2016)

TOEFLTest Score / just if taken;otherwise enter "not taken yet"
TOEFLTest Date / Write in following format - Month, day, year (e.g. December 22,1985)
SATTest Score / just if taken;otherwise enter "not taken yet"
SATTest Date / Write in following format - Month, day, year (e.g. December 22,1985)

1. Sport Data

Your sport / e.g. soccer, tennis, waterpolo...
Position / e.g. forward, guard, playmaker, etc.; if not applicable leave blank
Club(s) name
year(s) played and league played / Year, Club name, league, games played, games started (approximately)
____, ______, ____, __, __
____, ______, ____, __, __
____, ______, ____, __, __
e.g. 2004, NK “Karlovac, 3rd league, 25, 18
enter "no club" if you are not part of a club
Ranking Individual / if your sport is playable without a team e.g. tennis, swimming, etc.
Please include junior rankings and senior rankings with years,
e.g. 2002:Juniors 201, national ranking
Ranking Team / Please include junior rankings and senior rankings with years,
e.g. 2002:Juniors 201, national ranking
Titles / Please list all titles with years you can think of:
e.g.
2003:champion of regional tournament "Zlatni medvjed";
2004:quarterfinals at national team championships
2005:23 wins in 30 matches in club "Karlovac" in 2nd national league
Disciplines (and possible best times) / e.g. 100m dash: 11.4 seconds;freestyle; highjump etc.; if not applicable leave blank
Strengths / e.g. mental stability; responsibility; quickness; endurance; experience; tactical knowledge; etc.
Things that you need to improve / e.g. my left-foot is not as good as right, can improve in headers, technique, etc.
Objectives in sport / e.g. become professional player, graduate from university etc.
Other criteria / list other sport criteria in areas like fitness, quickness or strength or sport specific measures
e.g. FT%, bench press 200 lbs, 50 m dash in 6 seconds, high jump (take-off), etc.

1. Personal statement

Motivation statement / briefly explain why you want to come to study and play sports in the USA (no longer then a paragraph)