Men's Basketball Recruit Questionnaire

Please complete each section below. An e-mail address is required to properly process this form. Upon form submission, you will be taken to a confirmation page with a link to the Urbana University homepage.

PERSONAL INFORMATION

Last Name: First Name:
Parent(s) Name(s): Email (required):
Birth Date:
Street Address: City:
State: ZIP:
Home Phone: Best Time to Call  
What are your main factors in selecting a school?

What other colleges are you interested in? 

Have you applied for financial aid? Yes    No Do you know anyone who currently attends UU?   Yes    No

If yes, who?

SCHOLASTIC INFORMATION

Current School: Phone:
Street Address: City:
State: ZIP
Enrollment: Counselor:
GPA ACT/SAT Class rank/size
Graduation Year: Possible College Major(s):

 ATHLETIC INFORMATION

Coach's Name: Phone:
Height: Weight: Position(s) Played Position(s) Desired
Stats 1999-2000 2000-01 2001-2002
Scoring Average
Rebounding Average
Field Goal %
Free Throw %
Overall Team Record
Do you play any other sports?
Honors, Awards:
Hobbies & Interests:
Strongest part of your game

Other information/comments

Urbana University 
Office of Intercollegiate Athletics
579 College Way
Urbana, OH 43078
(800) 7-URBANA
All rights reserved.
 

Please send comments to: webmaster@urbana.edu