Men's Basketball Prospect Questionnaire
*If no answer is known, please put "N/A"
 
General Information

First Name:

  Last Name:
Address:  Number:
City, ST Zip:  HT:
Home Phone:  WT:
Cell Phone:  Shoe Size:
E-mail Address:  SS#:
Birthday:  GPA:
Nickname:  SAT/ACT:
Grad Year:  Best Friend:
POS:  Girl Friend:
 
Family Information
Mother:  Father:
Mother's Job:  Father's Job:
Mother's Work Phone:  Father's Work Phone:
Mother's Email Address:  Father's Email Address:
Mother's Birthday:  Father's Birthday:
 
Brothers (Name/Age):  Sisters (Name/Age):
    
    
    
 
High School Information
High School:    
Coach:  Counselor:
Coach's Home Phone:  Counselor's Phone:
Coach's Work Phone:  Registrar:
Coach's Email Address:  Registrar's Phone:
Athletic Period Time:From:    AM. PM.  To:   AM.  PM.
 
AUU Team Information
AUU Team:    
Head Coach:  Asst/Mgr:
Head Coach's Address:  Asst/Mgr's Address:
Head Coach's City, Zip:  Asst/Mgr's City, Zip:
Head Coach's Home Phone:  Asst/Mgr's Home Phone:
Head Coach's Work Phone:  Asst/Mgr's Work Phone:
Head Coach's Cell Phone:  Asst/Mgr's Cell Phone:
Head Coach's Email Address:  Asst/Mgr's Email Address:
 
Transcript Release
I hereby authorize the release of my academic transcript to The University of Texas at Arlington.
Signature:  Date: