Graduation Date
Name
Home Phone
Home Address
City
Country:
State / Province:
Zip/Postal Code
Father's Name
Father's Occupation
Mother's Name
Mother's Occupation
High School or Jr. College
 
School Address
City
Country:
State / Province:
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