Women's Basketball Recruiting Questionnaire

Email Secondary Email

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Email address *

First Name *

Last Name *

Address *

City *

State *

Zip Code *

Country *

Telephone *

Academic Information

High School

City

State

Current Grade

Anticipated Graduation Date (mm/dd/yyyy)

GPA (4.00 Scale)

Class Rank

SAT Score (Math and Reading)

ACT Score

Academic Honors

Intended Major

Have you registered with NCAA Eligibility Center

Yes No

Are you currently enrolled, or have you been enrolled in a two or four-year college

Yes No

If yes, What was/is your ID number

College and Date attended (i.e. Converse College, 01/05/2013)

Athletics Information

Height

Position

Left or Right handed

Describe your role on your high school team

Points per Game

Rebounds per game

Assists per game

3PT%

FT%

Video Available

Yes No

Team and Individual Athletic Honors (Include Year)

High School Coach

Please Provide name and phone number

AAU Team

AAU Team Coach

Please Provide name and phone number

Do you have any relative who have attended or currently attend Converse College

Yes No

If yes, list the relatives and what sports they play(ed) if any

Why are you interested in Converse College

* required field