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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