Men'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.

Use the Tab key to move between fields. DO NOT PRESS ENTER.


General Information

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
High School/Communtiy College Name                                              
City      State     Zip
Grade Point Average      Class Rank out of
SAT Score:     ACT Score:

Athletic Information

Height      Weight
HS Jersey Number      Years on Varsity      Years as a Starter
Cell Phone      Work Phone
Email Address
AAU/Club Team Name      Jersey Number
High School Coach
Phone      Email
Athletic Honors
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
Are You Sending a Video Yes     No
Upcoming Tournaments You Will Attend