Men's Basketball Questionnaire

GENERAL INFORMATION:
First Name:
Middle Initial:
Last Name:
Telephone:
Address:
City:
State:	Zip:
Date of Birth (mm/dd/yyyy):
Email Address:
Cell Phone:
Mother/Guardian:
Occupation:
Business Phone:
Father/Guardian:
Occupation:
Business Phone:
Brothers:
Sisters:
ACADEMIC INFORMATION:
Name of High School:
Guidance Counselor:
Telehone:
High school graduation date:
S.A.T. Scores: CR: M: W:
ACT Score:
Class Rank: out of
GPA:
Please list your academic interest(s) or major field(s) of study:
ATHLETIC INFORMATION:
	Height: Weight:
Other sports played:
Position(s):
Scoring Average:
Rebounding Average:
Assists PG:
Steals PG:
Blks.:
Tape Available? Yes No
High School Coach:
Telephone:
E-mail:
AAU Team:
AAU Coach:
Telephone:
E-mail:
What other varsity sports do you want to play in college?
Friends/relatives attending or graduates of Lebanon Valley