KCKCC Women's Basketball Recruiting Questionnaire

Email Secondary Email

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Personal Information

First Name *

Last Name *

Email address *

Address *

Address

City *

State *

Birthdate *

Zip Code *

Year of Graduation *

Current Grade *

Home Phone Number *

Cell Number *

Best Way to Contact You *

Parent Information

Father's Name *

Father's Email Address

Father's Cell Number

Mother's Name *

Mother's Email Address

Mother's Cell Number

Academic Information

High School Name *

High School Address *

High School City *

High School State *

High School Zip *

County *

Guidance Counselor's Name

School Phone Number *

GPA *

ACT Score

SAT Score

Major you wish to Pursue

Athletic Information

High School Coach *

High School Coach's Cell Number *

High School Coach's Office Number *

Height *

Dominant Hand *

Jersey Number *

Position *

PPG

RPG *

FG% *

3 PT FG *

Free Throw Percentage *

High School Honors and Awards *

AAU Team

AAU Coach

AAU Coach Cell Number

AAU Coach's Email address

Transfer Information

College *

College Head Coach's Name *

College Head Coach's Number *

College Credit Hours Earned *

College Honors and Awards *

Jersey Number *

Additional Information

List in order of importance the factors influencing your choice of school to attend *

* required field