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Men's Basketball Recruiting Questionnaire
Please fill out as completely as possible.

Required Fields in Bold

Sport Honors/Awards:
Name (last, first, middle):
 
NCAA Eligibility Center ID
 
Address:
 
City:
 
State:
 
Zip:
 
Home Phone:
 
Cell Phone:
 
Home Fax:
 
Email:
 
Graduation Year:
 
Height:
 
Weight:
 
Position:
 
Points per game:
 
Rebounds per game:
 
Assists per game:
 
Blocks per game:
 
Steals per game:
 
Jersey #:
 
Date of Birth:
 
Number of Brothers:
 
Number of Sisters:
 
Father's Name:
 
Mother's Name:
 
Father's Occupation:
 
Work Phone:
 
Cell Phone:
 
Work Fax:
 
Business Address:
 
City:
 
State:
 
Zip:
 
Email:
 
Mother's Occupation:
 
Business Address:
 
City:
 
State:
 
Zip:
 
Work Phone:
 
Cell Phone:
 
Work Fax:
 
Email:
 
College Attended by Father:
 
College Attended by Mother:
 
Name of High School or Junior College:
 
School Phone:
 
School Address:
 
City:
 
State:
 
Zip:
 
School Fax:
 
 
Guidance Counselor:
 
Graduation Date:
 
SAT Score (Verbal):
 
SAT Score (Math):
 
Grade Point Average:
 
ACT Score (English):
 
ACT (Math):
 
ACT (Social Science):
 
ACT (Natural Science):
 
Sum ACT Score:
 
High School Head Coach:
 
Home Phone:
 
Cell Phone:
 
Work Phone:
 
Home Fax:
 
Coach's Home Address:
 
City:
 
State:
 
Zip:
 
Email:
 
AAU Coach:
 
Home Phone:
 
Cell Phone:
 
Work Phone:
 
Home Fax:
 
Coach's Home Address:
 
City:
 
State:
 
Zip:
 
Email:
 
Other Sports Played:
 
Who will help in your decision making process?
What is your interest level in Weber State?
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