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bullet WOMEN'S BASKETBALL

Lady Mountaineer Basketball Questionnaire

*All cells with a red asterisk must be filled out before submitting.

Thank you for your interest in becoming a Lady Mountaineer Basketball player. We would appreciate any questions or concerns that you may have. All you need to do is fill out this questionnaire and submit it online. If you have any further questions you can contact the Lady Mountaineers Head Coach Andy Mace at amace@eosc.edu
Personal Information
*Name
*Home Phone #
*Address
*City
*State
*Zip
E-mail Address
Date of Birth
Father's Name
Occupation
Mother's Name
Occupation
Friends or Relatives who have attended Eastern
Academic Interest
High School Information
High School
School Phone #
Address
City
School Counselor
Graduation Date
GPA
Class Rank
out of
ACT
SAT
Basketball Information
Height
Weight
Shoe Size
High School Team
PPG
2 pts ppg
3 pts ppg
Positions Played
Coach's Name
Coach's Phone
Team Record
Summer Team
PPG
2 pts ppg
3 pts ppg
Positions Played
Coach's Name
Coach's Phone
Team Record
Honors
Other Sports you are interested in
Comments