Women's Basketball Questionnaire

The Heidelberg University Women's Basketball Team wants to get to know you.

General

Female (HIDDEN)

Legal First Name

Preferred Name

Last Name

Email Address

Home Address

Country

Street

City

Region

Postal Code

Home Phone Number

Cell Phone Number

Date of Birth

Citizenship

Background

Mother's First Name

Mother's Last Name

Mother Type (HIDDEN)

Father's First Name

Father's Last Name

Father Type (HIDDEN)

Siblings

Academic

When are you interested in attending Heidelberg?

Student Type

Top Intended Major

Recruit Type (HIDDEN)

Market Segment (HIDDEN)

High School Name

High School Code (HIDDEN)

High School (HIDDEN)

High School Graduation Year

Academic Honors

GPA

ACT

SAT

Top College Choice 1

Top College Choice 2

Top College Choice 3

Undergraduate (HIDDEN)

Athletic

Recruiting Website

Height

Weight

Points per Game

Rebounds per Game

Assists per Game

Steals per Game

Blocks per Game

Free Throw %

Field Goal %

Three Point %

School Coach First Name

School Coach Last Name

School Coach Email

School Coach Cell Phone

Coach Type (HIDDEN)

Club Team

Club Coach First Name

Club Coach Last Name

Club Coach Email

Club Coach Cell Phone

Coach Type (HIDDEN)

Favorite Jersey Number

Video Link

Schedule Link

Personal Contacts

Include any personal contacts you would like to share with this school. These contacts may receive emails, texts or calls for staff at the school.

Please provide their First & Last Name, relation to you, Email, Home & Cell Numbers.

I acknowledge by submitting this form my information is available to this institution.