Men's Basketball High School Recruiting Questionnaire

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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
JUNIOR COLLEGE INFORMATION
Your Address at Junior College
Junior College Phone
Name and Address of Junior College
Coach's Name		Home Phone
Coach's College Alma Mater		Work Phone
Academic Counselor's Name		Work Phone
What do you intend to major in at college?
Junior College Jersey Number		Junior College Position
JUNIOR COLLEGE STATISTICS
Scoring Average	Rebound Average	Assist Average
Junior College Grade Point Average		Credits Earned
TRANSCRIPTS
I hereby grant Edinboro University my consent to receive a copy of my official transcript.
Student's Signature