Muskingum University Athletics: Men's Basketball: Recruitment

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Basketball Recruiting Questionnaire

Personal Information

Name:

Preferred Name:

Gender:

Male

Female

Address:

City:

Home Phone:

Cell Phone:

E-mail:

Best day(s) and
time(s) to contact:

Birthdate:

Height:

Weight:

Mother's Name:

Mother's Occupation:

Father's Name:

Father's Occupation:

Living With:

Mother

Father

Both

Other

Academic Information

High School:

Class of:

GPA:

on a 4.0 scale

SAT Combined:

ACT:

Applied to
Muskingum U:

Yes

Potential College
Major:

Potential College
Minor:

Athletic Information

Primary Position:

Other Position:

Varsity Statistics:

PPG: RPG: APG:

AAU Team Name:

AAU Coach's Name:

AAU Coach's Phone:

Secondary sport:

Muskie Students/
Alumni I know:

Honors Received
(Conference,
regional, state,
etc):

Thank you for taking the time to fill out this questionnaire. Please use the space below to provide us with any additional information of your choosing.