EDINBORO UNIVERSITY OF PENNSYLVANIA
FIGHTING SCOT BASKETBALL QUESTIONNAIRE
(Please Print or Type)
| Name | |||
| Social Security Number | Height | Weight | |
| Home Address | |||
| Home Phone | Email Address | ||
| Age | Birthdate (mo/day/yr) | ||
| Father's Name | Mother's Name | ||
| Living with (circle one): Mother Father Both Other: ___________________ | |||
| Father's Occupation | Work Phone | ||
| Mother's Occupation | Work Phone | ||
| Number of Brothers and Sisters living at Home | |||
| Name and Address of High School | |||
| High School Phone | |||
| Coach's Name | Home Phone | ||
| Coach's College Alma Mater | Work Phone | ||
| Guidance Counselor's Name | Work Phone | ||
| What do you intend to major in at college? | |||
| High School Jersey Number | High School Position | ||
| HIGH SCHOOL STATISTICS | |||
| Scoring Average | Rebound Average | Assist Average | |
| High School Grade Point Average | Class Rank _____ out of _____ | ||
| COLLEGE BOARD SCORES | |||
| Date you took College Boards | |||
| SAT Total | Math | Verbal | ACT Total |
| TRANSCRIPTS | |||
| I hereby grant Edinboro University my consent to receive a copy of my official transcript and test scores. | |||
| Student's Signature | |||
| Parent (Guardian) Signature | |||