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WOMEN’S BASKETBALL QUESTIONNAIRE

Mail form to: IUS Attn: Robin Farris 4201 Grant Line Road New Albany, IN 47150

or email: rafarris@ius.edu

PERSONAL INFORMATION:

NAME: GRADUATION YEAR:

STREET: CITY:

STATE: ZIP: PHONE: (       )                                  

SOCIAL SECURITY NUMBER:

PARENTS NAME:

HIGH SCHOOL ATTENDED:

STREET: CITY:

STATE: ZIP: PHONE:(        )                   

COACH:

SCHOLASTIC INFORMATION:

GPA: CLASS RANK: SAT SCORE: ACT SCORE:____________

AREA(S) OF ACADEMIC INTEREST:

BASKETBALL INFORMATION:

POSITION:   FIELD GOAL %:

HEIGHT:   FREE THROW %:

WEIGHT:   REBOUND AVG:

VERTICAL JUMP:   SCORING AVG:

LIST ANY ASSETS ABOUT YOUR GAME:

LIST OTHER SPORTS PARTICIPATED IN: