Men's Basketball Recruiting Questionnaire

Name:
Birthdate: //19
Gender: Male Female
Address:
City:
State:   Zip:
Country:
Home Phone:
E-mail Address:
Home Church:
Religious Affiliation:
Christian Experience:
High School:
H.S. Phone Number:
Coach
Coach's Phone Number:
Coach's E-mail Address:
Year of Graduation:
Uniform Number:
Position:
Preferred College Position:
Height:
Weight:
GPA:
ACT Score:
Date Taken: //
SAT Score:
Date Taken: //
Date Registered for NCAA Clearinghouse: //
Prefered College Major:
Are you a college transfer? Yes No
If so, from what college:
Do you currently have a release from that college? Yes No
Father's Name:
Occupation:
Mother's Name:
Occupation:
Number of Siblings:
Academic Achievements:
Athletic Achievements:
Key Statistics:
Top Three College Choices: 1.
2.
3.
Video Available? Yes No
Date Video Will Be Sent: //20
AAU Team:
AAU Coach:
AAU Coach's Phone:
Rebound Average:
Points Per Game
Field Goal Percentage:
Free Throw Percentage:
Comments?