University of Massachusetts Lowell
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Woment Basketball Questionnaire

 

First Name
Last Name
Address
City/State/Zip
Date of Birth
Height/Weight
Home Phone #
Father's Name
His Occupation
Mother's Name
Her Occupation
Brothers/Sisters (Names & Ages)
Your email address 
ACADEMICS      
High School
Phone #
Address
City/State/Zip
Guidance Counselor
Date of Graduation
GPA/Class Rank (out of and Percentile)
SAT Scores:  Math    Verbal    Composite    ACT Score
(Indicate the number of years you will have taken the following subjects by the time you graduate high school:)
English:  Math:  Foreign Language(s):  Science:  Social Science:
Academic Interest In College:
Career Interest:
Academic Honors and Comments:
Other Colleges/Universities you are interested in:
ATHLETICS      
HS Coach: Coach's Phone #:
Position you play: Jersey #:
Projected College Position:
Individual Athletic Honors and Awards:
Team Honors (League Champs/Runners Up, State Qualifiers etc):
Name the three best players you have faced this year and the school(s) they play in:
Are tapes available? yes     no Other sports you played if any:
List any athletic injuries you have sustained if any:
Camp/Shootout/AAU Experience:
Camps/Shootouts Attending:
AAU Team(s)/Age Division: Jersey #:
AAU Coach(es): Phone #:

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