Kansas State Official Athletic Site

Women's Basketball Recruiting Questionnaire

Please fill out the following information completely and remember to submit the form.
Thanks for your interest in Kansas State Women's Basketball.

* Required

*First Name:
*Last Name:
*Year of Graduation:
*E-Mail:
*Cell Phone:
*Home Phone:
*Address:
*City:
*State:
*Zip:
*Date of Birth:
*Age:	Ht: Wt:
*Father's Name:
*Father's Occupation:
*College Attended:
Father's Employer:
Business Phone:
Home Phone:
*Mother's Name:
*Mother's Occupation:
*College Attended:
Mother's Employer:
Business Phone:
Home Phone:
Parents are: Married - Divorced:
I live with: Both, Mother, or Father:
Name(s) and age(s) of Brother(s)/Sister(s):
Name of High School:
High School Address, City, State, Zip:
High School Counselor:
Counselor Office Phone and Fax #:
GPA, Class Rank, Size of Class:
PSAT Scores V:	M:
or SAT Scores V:	M: W:
or ACT Score:
Desired Course of Study:
Academic Honors:
*High School Coach:
High School Coach Home Phone:
*High School Coach Office Phone:
*High School Coach E-mail:
High School Coach Cell Phone:
High School Coach Fax #:
Position:
Jersey #:
FG %:
FT %:
Pts/game:
Rebs/game:
Steals/game:
Blocks/game:
Assists/game:
Individual/Team Accomplishments:
School Classification:
*AAU Coach:
*AAU Team Name:
AAU Coach Cell Phone:
AAU Coach E-mail:
Hometown/Local Newspaper/City:
Best players you played against this year :
People you most likely would consult with in making a decision about the college you attend:
List the top-3 priorities you have in choosing a college:	2: 3: