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OREDIGGER WOMENS BASKETBALL
PROSPECT QUESTIONNAIRE

First Name
MI
Last Name
Date Age Height Weight Birthdate

ADDRESS INFORMATION

Street City
State Zip
Telephone Email
       
Spouse's Name

 

 
Mother'sName Occupation
Employer    
Father's Name Occupation
Employer    
Parent's or Permanent Address:   Phone:
Street City
State Zip

SCHOOL INFORMATION

GPA ACT score SAT score Class Rank
Anticipated College Major:
High School Name Year of Graduation
Street City
State Zip
Junior College    
Street City
State Zip
Guidance Counselor School Phone
Coach's Name Office Number
Home Phone

 

BASKETBALL STATS

Points Per Game FG% FT%
Rebounds Assists Vertical Jump
Athletic Injuries:
Honors (Academic/Athletic)

 

Any Questions Contact Brian Holsinger:
Montana Tech
Womens Basketball
1300 West Park Street
Butte, MT 59701
(406) 496-4766

 

 

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Questions and Comments:
1-800-445-TECH • 406-496-4178 • Email Us!

 

 

 

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