Recruiting Questionnaire

Name:     (first)        (last)        (middle in.)

Street Address:   

City:         State:         Zip Code:      

Home Phone:         Cell Phone:   

Email Address:   

Date of Birth:   

Father's Name:         Occupation:  

Work Phone:        College Attended:   

Mother's Name:         Occupation:  

Work Phone:        College Attended:   

Academic Information:

School Name:         School Phone:   

School Address:   

City:         State:         Zip Code:      

Date of Graduation:   

Guidance Counselor:       Phone:   

Coach:       Phone:       College:   

Class Rank:         Grade Point Average:      S.A.T. - Verbal         Math:   

Academic Honors:


Academic Majors You Are Interested in:   

Do you have an application to Shippensburg University?    Yes No

Have you applied to Shippensburg University?    Yes No   Have you been accepted to Shippensburg?   Yes No

Have you completed and mailed the NCAA Clearinghouse information?   Yes No

If Yes, what date did you submit your information to the NCAA?  

Athletic Information:

Height:         Weight:         Position:       Hand   L R

Pts/game:       Rebs/game:       Asst/game:       Blocks/game:   

Varsity Experience:         Other Sports:   

AAU Team:       AAU Coach:   

AAU Coach's Phone:      

Best Individual Opponent (senior):       School:   

Best Individual Opponent (other):       School:   

Career Highlights:


Colleges of Interest:


Mark if Available:

  Video Tape     Season Shedule     AAU Shedule     Coach's Evaluation