Student-Athlete Questionaire-Men's Basketball

Student-Athlete Questionaire
Today's Date

MonthDayYear
Date of Birth

MonthDayYear
Full Name*

First NameLast Name
Height*
Weight*
Player Position*

Point GuardShooting GuardForwardPower ForwardCenterOther
Home Address: Street*
City*
State*
Zip*
Home Phone Number

Area CodePhone Number
Cell Phone Number*

Area CodePhone Number
E-mail*
Parent/Guardian

First NameLast Name
High School Information
Parent/Guardian Contact Phone*

Area CodePhone Number
Parent/Guardian Contact E-mail
High School*
Street Address*
City*
State*
Zip*
Did you graduate ?*
Yes/No
Graduation Date

MonthDayYear
GPA*
SAT/ACT*
Did you earn a GED ?
Yes/No
GED: Date Earned

MonthDayYear
Have enrolled in a college previously ?*

YesNoNo, but took college classes while in high school
High School Head Coach

First NameLast Name
Head Coach Number

Area CodePhone Number
College Transfer Information
College/University
Date Attended-Start Date

MonthDayYear
Date Attended-End Date

MonthDayYear
College/University
Date Attended-Start Date

MonthDayYear
Date Attended-End Date

MonthDayYear
College/University
Date Attended-Start Date

MonthDayYear
Date Attended-End Date

MonthDayYear
College/University
Date Attended-Start Date

MonthDayYear
Date Attended-End Date

MonthDayYear
Have you graduated from a College or University

YesNo
Did you participate in Athletics ?

YesNo
Which Sport(s)

BasketballFootballTrackGolfSoccerOther
Awards
Welcome to Jaguar Nation !
By submitting my form, I understand that information falsified or omitted can make me ineligible for ALL future college competition in compliance with the National Junior College Athletic Association Eligibity Rules.
Should be Empty:

Student-Athlete Questionaire

High School Information

College Transfer Information

Welcome to Jaguar Nation !