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Weber State Women's Basketball Prospective Student Athlete Questionnaire
Please fill out as completely as possible. Also, please send a game schedule from your current or upcoming season.

Required Fields in Bold

Name (last, first, middle):
 
Year of Graduation:
 
Address:
 
City:
 
State:
 
Zip:
 
Cell Phone:
 
Home Phone:
 
Email:
 
NCAA Eligibility Center ID
 
Date of Birth:
 
Mother's Name:
 
Home Phone:
 
Work Phone:
 
Father's Name:
 
Home Phone:
 
Work Phone:
 
Brother(s):
 
Sister(s):
 
Hobbies:
 
Name of High School or Junior College:
 
Address:
 
School Phone:
 
Guidance Counselor:
 
Grade Point Average:
 
ACT Score:
 
Date Taken:
 
SAT Score:
 
Intended Major:
 
SAT Score:
 
Date Taken:
 
Academic Honors:
 
Head Coach:
 
Home Phone:
 
Work Phone:
 
Height:
 
Weight:
 
Position:
 
Jersey #:
 
Scoring Average:
 
3pt. %:
 
F.T. %:
 
F.G. %:
 
Reb. Avg.:
 
Assist Avg.:
 
Steal Avg.:
 
Athletic Honors:
 
Other Schoools You Are Interested In:
 
AAU/Club Team:
 
Coach:
 
 
Contact #:
 
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