Student-Athlete Questionnaire

We are in direct contact with 2000 colleges on a continual basis. If you qualify, hundreds of college coaches will hear about you within the next month.

CPOA of Northern Nevada offers its services to only those Student-Athletes who possess the skills necessary to compete at the college level. To find out if you qualify or for more information, please complete our online form.

Status	Student-Athlete Parent High School Coach Club Coach College Coach
Student's Name:
Email Address:
Home Phone
Cell Phone
Street Address
City
State
Zip Code
High School
Year of Gradution
Overall GPA
SAT or ACT Score
Your Primary Sport
Athletic Awards
Academic Awards
High School Coach's Name
High School Coach's Telephone Number
Club Coach's Name
Club Coach's Telephone Number
Other Sports
Parent's Name
Parent's Cell Phone Number (Indicate which parent)
Best Time to Call
Remarks/comments