Recruitment Form: Basketball (M + W)

Personal Information

Email address *
Re-type email *
First Name *
Middle Name
Last Name *
Sex
  Male
  Female
Address
Apt./Unit #
City
State
Zip or postal code
Country
Phone
(include area code)
Date of Birth
MM/DD/YYYY
Guardian's Name
Guardian's relation to you
(e.g. mother, uncle, etc.)
Guardian's occupation
Second guardian's name
(if applicable)
Second guardian's relation to you
Second guardian's occupation

Academic Information

High school name
High school address
High school phone #
Guidance counselor
Counselor's phone #
ACT Score
SAT V
SAT M
High school scholastic average
Class rank
(approx)
Out of
Date of graduation

Basketball Experience

Position
Years played varsity
Years started
Height
Weight
Dominant hand
High school coach
Coach's work phone #
Coach's home phone #
Coach's email

High school accomplishments

Points per game
Assists per game
Rebounds per games
Steals per game
Blocks per game
3 point %
Field goal %
Free throw %
AAU Team
Coach
Coach's work phone #
Coach's home phone #
Coach's email

AAU team accomplishments

Points per game
Assists per game
Rebounds per game
Steals per game
Blocks per game
3 point %
Field goal %
Free Throw %
Basketball awards/honors: (captain, leading scorer, all-league, etc.)
Are videotapes available for viewing?
  yes
  no
  not sure

Other high school varsity sports played

Sport
Years played
Years started
Sport
Years played
Years started
Sport
Years played
Years started

General Information

Do you know anyone who attends/has attended Emmanuel College?
  Yes
  No
If yes, name(s)
Relation to you
When did s/he attend Emmanuel?
Have you applied to Emmanuel College?
  Yes
  No
If no, do you intend to apply?
  Yes
  No
Intended college major
Have you filed a Financial Aid form?
  Yes
  No
Do you intend to apply for Financial Aid?
  Yes
  No
Other colleges you intend to apply to
Comments?
* = required field