Football Players Profile




PLEASE complete this submission form below so that we can determine how best to help YOU.

Your Name (required)

Your Email (required)

What is the Subject of your inquiry?

How can we help you?

Do you live within a 2 hour drive of a major market such as Atlanta, New York, Los Angeles?



State and Zip

Phone Number

Do You have Game or Highlight Film?

Your Website or Blog

Your FaceBook/Ello/Google+/Myspace

Your Twitter

Your LinkedIn/Meetme/4Square


Your YouTube/Vimeo/Vine

Other Social Media




Married, Family

Attend, Graduate from College

Your Position

Give Your Times/Results in The Drills Below

10yd Time

20yd Time

40yd Time

20yd Shuttle Time

60yd Shuttle Time

3 Cone Square

4 Cone Square

Reps at 225 lbs

Vertical Jump

Standing Broad Jump

Running Long Jump

Rate Your Skill from 1 to 10 Excellent













Transition Speed, in and out of Breaks, Change Directions

Lateral Movement


Combine Workout

Pro Workout

List Injuries


Games Missed due to Injuries in last 4 years

Have you ever been diagnosed as having a learning disability, ADHD, ADD, BiPolar, Tourette's Syndrome, Dyslexia, Behavioural Problems, Psychiatric illness, or any other? If yes, please elaborate.

Have Your difficulties been formally identified through the health board disability services? If Yes please elaborate

Do You Receive Any Support/Assistance from Any Services for These Concerns? If yes, please elaborate.

Are You on Any Type of Medication? If yes, please give details.

Are you able to perform the essential functions of the sport for which you are playing, either with/without reasonable accommodation? If no, describe the functions that cannot be performed. (Note: Some companies/institutions comply with the ADA standards and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that a hire may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional.)

Are you aware of any serious physical health problem you may currently be suffering from or have suffered from in the past? If yes please elaborate.

Do you now or have you ever experienced any of the following:
Chest Pains; Daily Coughing; Chest Pressure; Fainting; Palpitations/skipped beats; Seizures; Unexplained weight change; Disorientation; Difficulty Walking; Numbness or tingling; Allergies; Frequent Loss of Balance, Excessiveness shortness of breath with exercise; Frequent Headaches; Dizziness? If yes please elaborate.

Do you have or did a physician ever diagnose you as having any of the following:
Heart Disease, Diabetes, Heart Murmur, Emphysema, Arrhythmia's, Asthma, Circulatory Problems, Chronic Bronchitis, High Blood Pressure, Vertigo. Neurologic Problems, High Cholesterol, Arthritis, Osteoporosis, Cancer, Condition(s) not listed? If yes please elaborate.

Are you presently under a physician's care for any of the above, or for any other condition? If YES, please provide type of treatment you are receiving and your physician's name, address and phone.

Been Arrested, If so, what were the Results

Drug Tested, Results

Your Strenghts

Your Weaknesses

Your Stats

Your Awards and Honors

Are you a Superstar?

Do you have a marketable image? Explain.

Do you have a marketing plan? If so, detail.

Is there anything controversial about you? If so, what is it

Professional Experience

Give History of Your Pro Contracts with Terms

What is your sports career plan?

What is your post sports career plan?

What is your career plan?

Are you willing to do what it takes to achieve success?

Do you expect to earn $10 million or more in annual income?

Is your education and preparation for your future really strong and well-constructed?

Are you willing to cooperate with Superstar Management at all times to reach the greatest level of success possible for you?

What Agencies Have You Worked With?

Do you have the financial resources to establish yourself? What are they?

Name Best players you played with

Name Best players you opposed

Give Us Your Self Assessment

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(510) 394-4501

Ani- Best Whishes@Faruqui

(510) 394-4501