Men's Basketball Questionnaire



I     PERSONAL


 Graduation Year

First Name    Last Name    Middle Initial

Street Address    Apt. Number

City    State    Zip Code

Home Phone Number     Cell Phone Number

E-mail Address

Date of Birth    Social Security Number

Religion

Mother/Guardian Name    Occupation

Father/Guardian Name    Occupation




II     ACADEMIC


High School    City    State

GPA    Class Rank/Total Students    ACT

SAT-Writing    SAT-Math    SAT-Critical Reading

Guidance Counselor    Phone Number

Potential College Major 1)    2)

Other Colleges Interested in 1)    2)

Have you registered with the NCAA Clearinghouse? (Yes or No)

If Yes, what is your NCAA Clearinghouse ID Number?

Academic Honors

 





III     ATHLETIC


 Height    Weight    Vertical Jump     

Dominant Hand (Left or Right)    Time (40 yard dash)

High School Coach    Phone Number

High School Uniform Number    High School Position(s)

Number of Years on Varsity

Travel Team Name

Travel Team Coach    Phone Number

Travel Uniform Number    Travel Team Position(s)

Number of Years on Travel Team 

Other Sports

Athletic Honors