Zia Basketball Information Form

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ENMU

Athletics

Teams

Zia Basketball

Information Form

Zia Basketball

The purpose of this questionnaire is furnish information for our files. It does not obligate you in any way or affect your performing eligibility.

Personal Information

Name:
E-MAIL Address:
Street Address:
City: State: ZIP:
Home phone: Date of birth(mm/dd/yy): Age:
Height: Weight:
Parent's name(s):
When is the best time (MST) to reach you at the above number?

Scholastic Information

School Currently Attending:
High School Junior College 4 year College/University High School
Classification: 5A   4A   3A   2A   1A Private
Date of your graduation:
Grade point average:   Class rank:
ACT:   SAT:
Intended Major:

Athletic Information

Coach:    Coach's phone:
How long have you been playing basketball?
Position(s) played:
Jersey number:    Vertical leap in inches:
Pts./Gm:    Reb./Gm:    Assists/Gm:    Steals/Gm:
FG %:    FT %:    3-Pt. %:
Basketball honors:

Video available?: Yes No

Have you registered with the NCAA Initial-Eligibility Clearinghouse?
Yes No

If NO, contact your guidance counselor, who can obtain materials, at no cost, by calling the Clearinghouse at 319-337-1492. Registration with the NCAA Clearinghouse can also be done at www.ncaaclearinghouse.net. Also, when taking the SAT and ACT, scores can be sent to the clearinghouse by putting the clearinghouse's institution code "9999" in the box when registering to take the tests.