Prospective Student-Athlete Questionnaire - Men's Basketball

Please fill this out if you are interested in receiving more information about the men's basketball program at Seattle University.

Required Fields in Bold

	First Name



	Middle Initial

	Last Name

	Nickname

	Home Address

	City

	State

	Zip Code

	Home Phone

	Cell Phone

	E-Mail Address

	Date of Birth

	Social Security Number

	Father's Name

	Mother's Name

	Parents' Occupation(s)

	High School

	Address of Current School

	City

	State

	Zip Code

	High School Coach

	High School Coach's Phone Number

	High School Coach's E-Mail Address

	Traveling/AAU Team

	Traveling Team/AAU Coach

	Traveling Team/AAU Coach's Phone Number

	Traveling Team/AAU Coach's E-Mail Address

	If you are outside ofr Seattle, what airport do you fly out of?

	What in Seattle would you like to see?

	Favorite food(s) you would like to eat on visit

	Graduation Date

	Cumulative GPA

	Core GPA

	SAT Score

	ACT Score

	PSAT Score

	High School Counselor

	High School Counselor's Phone Number

	Possible College Major

	Height

	Weight

	Position

	Shoe Size

	Points per game

	Rebounds per game

	Jersey Number

	Honors Received

	Other Sports

	Hobbies

	Please list the names of outstanding players you have played against (Name, School, Year)