Lander University Athletics Women's Basketball Questionnaire

 (Fill out and "submit" at bottom of the page)

Name (First, Middle, Last)
Home Address
City, State, Zip Code
Date of Birth
  Social Security Number
E-Mail Address
Home Phone
Cell Phone
Mother's Name
Mother's Occupation
Father's Name
Father's Occupation
Parents Are (Married, Divorced, Separated, Widowed)  
I live with  
High School Name  
  High School Address
Graduation (Month, Year)  
High School GPA  
  Class Rank
  Number in Class
SAT Math Score  
SAT Verbal Score  
ACT Score  
  Guidance Counselor, Phone No.
Intended College Major  
High School Coach's Name  
H.S. Coaches Phone  
H.S. Coaches E-Mail  
Are you registered with the NCAA Clearinghouse?  
If so, what is your Clearinghouse ID #?  
Position  
Height, Weight  
  Right/Left Handed
  Shoe Size
  Shirt Size
  Shorts Size
High School Jersey Number  
Previous College  
Previous College Coach's Name  
Previous College Coach's Phone  
Previous College Coach's E-Mail  
High School Statistics  
High School Athletic/Academic Awards