Clarion University Golden Eagles
Women's Basketball

Prospective Student-Athlete Questionnaire


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Student Athlete Information

Student Athlete Name
Street Address
City
State
Zip Code
Phone (e.g., 814-393-2306)
Email

Academic Information

High School

(no initials please)

Name of High School Counselor

Name of High School Principal

Graduation Year

Class Rank

out of (e.g., 1 out of 300)

GPA

(e.g., 4.0)

Core GPA

(e.g., 4.0)

How many core courses have you completed?

(e.g., 10)

How many core courses are you currently taking?

(e.g., 4)

SAT

 - Math - - Verbal -

ACT

If SAT score is not available, do you plan to schedule a test date?

Yes | No |  Not sure

If so, what is the test date?

(e.g., 01-01-01)

If ACT score is not available, do you plan to schedule a test date?

Yes | No | Not sure

If so, what is the test date?

(e.g., 01-01-01)

College Currently Attending
(if applicable)

Intended Major at Clarion University


Family Information

Father's Name
(or guardian)

Occupation

College Attended
(if applicable)

Mother's Name
(or guardian)

Occupation

College Attended
(if applicable)

Siblings Names

College Attended/Attending
(if applicable)


Basketball Information

High School Coach Name

Where did your high school coach attend college?

High School Telephone

Positions Played

Preferred College Position

Height:

Weight

Other Sports Played:

Awards/Honors:

Who is the best player in your area? Name:
Grade:
School:
Person(s) with whom you would like to consult when making your college decision?
   

Please list your top three priorities when choosing a college:

1.
2.
3.


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