Men's Basketball Questionnaire

Personal Information

Name:

E-mail:

Address:

City:		State:
ZIP:
Home Phone:
Cell Phone:

High School or Junior College:

School Address:

City:		State:
ZIP:

Father's Name:

Father's Occupation:

Mother's Name:

Mother's Occupation:

Date of Birth:

Religious Affiliation:

Academic Information

H.S. Graduation Year:

GPA:

Possible Major:

SAT

Verbal:

Math:

Written:

ACT Composite:

Athletic Information

Position:

Height:		Weight:
	Uniform Numbers
H.S./College:		AAU:

H.S./College Coach:

Coach's Office Phone #:

Coach's Home Phone #:

High School Statistics

Senior:

(per game) Points Rebounds Assists Steals

(season) FG% 3 Pt. % FT%

Junior:

(per game) Points Rebounds Assists Steals

(season) FG% 3 Pt. % FT%

Awards/Honors:

Junior College Statistics

Sophomore:

(per game) Points Rebounds Assists Steals

(season) FG% 3 Pt. % FT%

Awards/Honors:

AAU Team:

AAU Coach :

Coach's Office Phone #:

Coach's Home Phone #:

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Personal Information

Academic Information

Athletic Information