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Women's Basketball Information Form
The purpose of this questionnaire is furnish information for our files. It does not obligate you in any way or affect your performing eligibility.

Required Fields in Bold

 
Personal Information

First Name:
 
Last Name:
 
Email:
 
Street Address
 
City
 
State
 
Zip Code
 
Home Phone
 
Date of Birth
 
Height
 
Weight
 
Parent's Name(s)
 
 
Scholastic Information

 
School Currently Attending
 
Type of School
 
High School
Junior College
4-Year University
Classification
 
5A
4A
3A
2A
1A
Private
Other
Date of your graduation
 
Class rank
 
Grade point average
 
SAT
 
ACT
 
Intended Major
 
 
Athletic Information

Coach
 
Coach's Phone
 
How long have you been playing basketball?
 
Position(s) played
 
Jersey number
 
Vertical leap in inches
 
Points per game
 
Assists per game
 
Rebounds per game
 
Steals per game
 
FG%
 
FT%
 
3-PT%
 
Basketball honors
 
Video available
 
Yes
No
Have you registered with the NCAA Initial-Eligibility Clearinghouse?
 
Yes
No
If NO, contact your guidance counselor, who can obtain materials, at no cost, by calling the Clearinghouse at 319-337-1492. Registration with the NCAA Clearinghouse can also be done at www.ncaaclearinghouse.net. Also, when taking the SAT and ACT, scores can be sent to the clearinghouse by putting the clearinghouse's institution code "9999" in the box when registering to take the tests.
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