Southern Poly Women's Basketball Questionnaire

Personal Information

Full Name:
Address: Street
City
State Zip
Birthdate:
Phone:
Cell Phone:
Email:
Parent/Guardian: Mother Father Other
Parent Occupation: Phone:
Parent/Guardian: Mother Father Other
Parent Occupation: Phone:



Academic Information

High School:
Graduation Date:
ACT/SAT Results: H.S. GPA:
Previous College(s):
Currently Enrolled: Yes No
Total Credits Earned: College Status
Intended Major: Overall GPA:
Academic Honors:



Athletic Information

Height: Vertical:
Weight: Bench:

Position(s):
Coach's Name:
Coach's Phone:
Coach's Email:
Video Tape Avail.: Yes No
Stats Available: Yes No
Stats PPG:
FG%: 		RPG:
FT%: 		APG:
Stats PPG:
FG%: 		RPG:
FT%: 		APG:
Honors/Awards:
Other Sports:

Additional Information

Name(s) of people you know at SPSU:

Comments / Personal Statement: