Road to College Golf
Contact Us

Road to College Golfer

Post Office Box 3173 
Mission Viejo, CA  92690
Phone: 323.823.4014

Online Questionnaire
Thank you for interest in Road To College Golf and for visiting our website. Please take a moment to fill out the following questionnaire and click submit when complete.
First Name:
Last Name:
City, State, Zip:
Male    Female
Date of Birth:
Graduation Class:
Home Phone:
Cell Phone:
Father's Name:
Father's Email:
Father's Cell Phone:
College Father Attended:
Mother's Name:
Mother's Email
Mother's Cell Phone:
College Mother Attended :
High School:
Graduation Year:
TOEFL (Int. Students Only):
SAT Math:
SAT Writing:
SAT Critical Reading:
Composite SAT Score:
Composite ACT Score:
When did you start 9th grade?:
What are the five most important criteria you will use during the college selection process?
Swing Instructor:
Putting/Shrt Gm Instructor:
Sports Psychologist:
Other Coach:
*Please include golf course or facility affiliation for each teacher.
Home Golf Courses:
Top Five College Choices:
Golf Accomplishments in the past 24 months
List upcoming tournaments that you are scheduled to participate in:
What year did you begin participating in serious competitive (regional and/or national multi-day) junior golf tournaments?
Do you currently have a college profile (academic/golf) posted on the Internet for coaches to review and if so, where? (AJGA, Junior Golf Scoreboard, etc.)
I am interested in learning more about the following program(s):
   Annual     Six-Month     Hourly     Daily     All
AJGA member?
Yes  No
Registered for the NCAA Clearinghouse?
Yes    No
Would you like to receive a follow-up phone call from Road to College Golf?
Yes    No
If yes, please indicate who to call along with their phone number.
How did you hear about Road To College Golf
(includes person's name if applicable):
General Comments: