Graduation Date
Name
Home Phone
Home Address
City
State
Zip/Postal Code
Father's Name
Father's Occupation
Mother's Name
Mother's Occupation
High School or Jr. College
 
School Address
City
State
Zip
Coach
Athletic Phone
Coach's Home Phone
Coach's Alma Mater
   

Academic Information

School Counselor
Principal
Interested Course of Study
Number of Graduates in your class
Your Class Rank
SAT Scores:
Verbal
 Math
Date Taken

ACT Score:
Date Taken


Basketball Information

Exact Height

Weight
Position Played

Sophomore Year
Average:
Points Per Game  
Rebounds  
Assists  
Team Record:   W     L  

Junior Year
Average:
Points Per Game  
Rebounds  
Assists  
Team Record:   W     L  

Senior Year
Average:
Points Per Game  
Rebounds  
Assists  
Team Record:   W     L  


Can you dunk? 1 hand yes   no
2 hand yes   no

Do you have a videotape of your games?
yes   no


Athletic honors you have received

Other sports you play

Are you interested in attending Faulkner University?
yes    no