Southwest Minnesota State University Athletics - SMSU Wheelchair Basketball Questionnaire

SMSU Wheelchair Basketball Questionnaire

This is not an official university application.

Contact Information
Last Name *
First Name *
Address *
City *
State *
Zip *
Home Phone *
Cell Phone *
Date of Birth *
E-mail *
Family Information
Father's Name
Father's Phone
Father's Occupation
College Attended
Mother's Name
Mother's Phone
Mother's Occupation
College Attended
Academic Information
High School Graduation Year *
High School Name *
High School Phone
High School Address
Class Rank/Total
GPA *
ACT/SAT
Intended Major #1
Intended Major #2
Athletic Information
High School Coach
High School Coach Phone
High School Coach E-mail
Height
Weight
Position
Points/Game
Rebounds/Game
Assists/Game
Steals/Game
Blocks/Game
3-pointers Made/Attempted
Field Goal Percentage
Free Throw Percentage
Other Sports Played
Accolades
List any athletic honors you have received
Interest in SMSU
Southwest Minnesota State University is my:
Other schools I'm considering:

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