Basketball Questionnaire
Illinois Valley Community College
Attention: Women's Basketball
815 N. Orlando Smith Avenue
Oglesby, IL 61348
Or e-mail to Steve_Crick@ivcc.edu
Please print or write legibly.
Name: _______________ _______________ _______________
(Last)
(First)
(Middle)
Personal Information
Home Address _______________ City _______________
State _______________ Zip _______________
Date of Birth _______________ E-mail Address _______________
Cell Phone _______________
Home Phone _______________
Social Security Number _______________
High School _______________
Year of Graduation _______________
Coach's Name _______________ School Phone _______________
Home Phone _______________
Parent's or Guardian _______________
Occupations _______________
Other Children in your family and age(s) _____________________________________________
Friend's or Alumni at IVCC that you know? _____________________________________________
Other Schools that you are considering? _____________________________________________
Athletic Information
Position_____ Height____ Weight___ Pts./Game____
Reb./Game Asst./Game____ Ft%____
FG%____ 3Pt.%____ Position you would like to play in college? _____
Jersey #_____
Shoe Size _____ Which is your dominant hand, Left or Right?_____
Name of the most influential person in your life_______________
List of Honors and Awards______________________________
Name of the best player you played against?______________________________
Her High School_______________
List of your strengths as a player_______________
Weakness_______________
List your future goals______________________________
Academic Information
Rank in Class_______________ GPA_______________
ACT Score_______________ SAT Score_______________
Are you registered with the NCAA Clearinghouse?_______________ Are you a NCAA Qualifier?_______________
What would you like to major in?_______________
Other college(s) attend_______________
Counselor's Name_______________ Office Phone_______________
Principal's Name_______________
Date Completed