Women's Basketball Prospective Athlete Questionnaire

The following Athletic Prospect Information Form serves as an initial contact between prospective Goucher student-athletes and the Goucher Department of Intercollegiate Athletics. All information is confidential and distributed to only the coaching staff. Please follow the directions on this form and complete ALL fields.

 

General Information
Name     

Nickname
Home Address
City    

State     

Zip
 Home Phone     

Cell Phone
Email Address
 DOB     

High School Graduation Date
Mother's Name/Phone Number/Occupation/College Attended / /
/
Father's Name/Phone Number/Occupation/College Attended / /
/
Currently Living With Mother     Father      Both     Other
Friends or Relatives Who Attended Goucher

Academic Information (TRANSFERS list eligibility status)
High School Name
 City    

 State
Grade Point Average     

Class Rank out of
SAT Score: Math      Verbal      Writing
ACT Score
Intended Major: 1st Choice      2nd Choice
Career Aspiration
AP/Honors Classes You Have Taken (please specify)
Eligibility Status

Athletic Information
     Height      Weight
Position:
  Point Guard Shooting Guard Small Forward Power Forward Center
HS Jersey Number     

Years on Varsity     

Years as a Starter
High School Coach
Cell Phone     

Work Phone
     Email Address
Junior Season (Averages per Game)
Points     

Rebounds     

Assists     

Steals
Field Goal %     

Free Throw %     

3pt Field Goal %
JR. Win- Loss Record     

SOPH Win-Loss Record
 AAU/Club Team Name     

Jersey Number
AAU Coach
Phone      Email
Athletic Honors
Other Sports/Detail Primary or Secondary Sport
Have You Applied to Goucher Yes     No
How Will You Apply Early Decision   Early Action 
Regular Decision
Will You Apply for Financial Aid? Yes     No
Interest Level in Goucher Top Choice      High     Medium     Low
Are You Planning to Visit Goucher?  Yes      No     When?  
List in Order of Preference Colleges You Are Interested in Attending (including Goucher)
Are You Sending a Video Yes     No
Upcoming Tournaments You Will Attend