Athlete Information Form - Basketball

Simpson College

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Athlete Information Form - Basketball

First Name	Last Name
Street
City	State
Zip Code	Gender Male Female
Home Phone	Cell Phone
Email *
Date of Birth	Religious Affiliation
Father's Name	Father's Occupation
Father's Employer	Father's Work Phone
Father's College Attended
Mother's Name	Mother's Occupation
Mother's Employer	Mother's Work Phone
Mother's College Attended

Academic information

Family Members or Friends who attend(ed) Simpson College
High School	Graduation Date
GPA	Class Rank of
ACT	SAT
If a transfer student, please list all colleges attended and dates
Counselor's Name
Academic Interests	Academic Honors

General Athletic information

High School Head Coach	Coach's Phone
Coach's Email
Best players you have competed against	High School
Player 2	High School
Other Sports & Activities

Basketball Information

Basketball Awards and Honors
Position	Points per game
Rebounds per game	Assists per game
Height	Weight

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