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ONLINE QUESTIONAIRE

Online Student-Athlete Women's Basketball Questionnaire

Date:

Name:
Last: First: MI:

Height: Weight:

Address:

City: State: Zip:

Telephones:

E-MAIL Address:

Date of Birth: Age: Social Security #:

High School:

City: State: Zip:

Basketball Coach:

Coach's Phone #'s:

GPA: Class Rank: Year of Graduation:


ACT Composite Score: English: Mathematics:
(or date to be taken):

SAT Composite Score: Verbal: Math:
(or date to be taken):

Academic Interests:



Father's Name: Occupation:

Mother's Name: Occupation:

Schools Applying to/Interested in:


Is Puget Sound one of your top five selections?

Have you visited Puget Sound?

Will you be arranging a campus visit?

If so, when are you planning your trip?


Will you be applying for financial aid?

Have you applied to Puget Sound?

Will the amount of financial aid you receive have a factor in your choice of college or university?

Will you only attend a college or university that offers athletic scholarships?


Basketball Information:

Offensive Position(s):

# Years Playing/Letters: # Years Starting:

Video Film Available? Video Mailed?

Schedule Available?

PPG: RPG: APG: FG%: FT%:

List Select Team or Summer Team and contact:


Honors/Awards:


Other Sports/Years Played:



Link: NCAA
Link: Northwest Conference