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Volunteer State Community College

Basketball Questionnaire

Recruitment Form

*First Name:
*Last Name:
Date of Birth:
Address Line 1:
Address Line 2:
City:
State:
5-Digit Zip Code:
*Home Telephone Number:
- -
Email Address:

Family Information

Name(s) of Parent(s) or Guardian(s):
Occupation(s):
Work Telephone Number:
- -
Names and Ages of Brothers and Sister:

School Information

School Name:
Graduation Date:
School Address Line 1:
School Address Line 2:
School’s City:
State:
School’s 5-Digit Zip Code:
School Telephone Number:
- -
SAT Score:
ACT Score:
*Grade Point Average:
.
Class Rank:
of
Desired Major:

Basketball Information

Height (feet and inches):
ft
Weight (in pounds):
Position Played:
Field Goal Percentage:
Assist Average:
Free Throw Percentage:
Points Average:
Rebound Average:
Athletic Honors:
* denotes required field