Men's Basketball Questionnaire

General Information
Full Name (Last, First MI)


Home Address
City
State
Zip
Birthday
Home Phone

Father's Name
 Occupation


Mother's Name
 Occupation


Parent's Alma Mater

High School or Jr. College

School Address

Address
CityStateZip

Coach's Name
 Alma Mater


Coach's
Athletic Phone
Home Phone
email



Academic Information
Date of HS Graduation
GPA
Your Class Rank
ACT score
SAT score
Interested Course of Study
Basketball Information
Exact Height
Weight
Position Played



So. Points per Game:
Rebounds:
Assists:
Team Record




Jr. Points per Game:
Rebounds:
Assists:
Team Record




Athletic honors you have recieved:

Other sports you play:

Most Outstanding Players you will compete against this year: 

         Your E-mail address*: 
 
*This is a REQUIRED FIELD. If you do not have an e-mail address, 
type in your last name with NO SPACES!

Extra Information:

Hitting "Send" will e-mail the form directly to NSU's Men's Basketall program.
Hitting "Clear" will clear the form and not send it anywhere.

 

 
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