Recruiting Questionnaire

First Name: Initial Last Name
Email address:

PERSONAL

Birthday: xx / xx /xx    Graduation (month/year):

Address:

City  State   Zip Code

Home Phone #: Cell Phone #:

Do we have permission to contact you by text message? Yes     No

AIM Screen Name:

FAMILY

Father's Name:	Occupation:	Sports Played :
Father's Email:
Mother's Name:	Occupation:	Sports Played :
Mother's Email:
Lives with: Mother   Father   Both
Brothers and Sisters Name:   Age:   College: Yes No  Which?: Name:   Age:   College: Yes No  Which?: Name:   Age:   College: Yes No  Which?: Name:   Age:   College: Yes No  Which?:

SCHOLASTIC
High School:
Address:
Guidance Counselor: Guidance Counselor Phone#:
Desired Major:
Are You Registered with the NCAA Clearinghouse? : Yes No
PIN#:
PSAT M V Class Rank:
SAT Math Verbal Written
GPA: ACT (Comp.):

Other Universities you are considering::

ATHLETIC
Height:    Weight:    Primary Position: Secondary Position:
Right / Left Handed?    Block Jump (ft/in):
Approach Jump (ft/in): Triple Broad Jump (ft/in):
Do you serve-receive for your team? Yes No Sometimes
Do you predominantly play:  Backcourt   Frontcourt   Both

Awards Won:

HS Coach:
HS Coach's Phone:   HS Coach's email:

HS Playing Experience in Years:
Junior Varsity Varsity
HS Uniform #:

Club Team Name:     Club Website
Club Coach's Name:
Club Coach's Home Phone: Club Coach's Work Phone:

ClubPlaying Experience:
Years
Club Uniform #:

Do you have a skills DVD/video available? Yes No

General Information

Other Sports Played?

List injuries you have sustained in the last 5 years.