Darton College

Darton Basketball Prospect Questionnaire

Personal Information

*Last Name:

*First Name:

Middle Name:

Nickname:

Parent(s)/Guardian Name:

*Address:

*City:

*State:

*Zip Code:

Country:

*Phone Number (include area code):

Cell Number (include area code):

*Email:

Date of Birth:

Age:

High School Information

High School Attended:

Phone Number:

Address:

City:

State:

Zip Code:

Graduation Year:

GPA:

SAT Verbal Score:

SAT Math Score:

ACT Score:

HOPE qualified? Yes No Not Sure

PELL qualified? Yes No Not Sure

High School Counselor's Name:

Phone:

Intended Major or Field of interest:

High School Basketball Information

Primary Position:

Other Positions Played:

Uniform Number:

Height:

Weight:

Per Game Averages (Points):

Per Game Averages (Rebounds):

Per Game Averages (Steals):

Per Game Averages (Assists):

Per Game Averages (Blocks):

Per Game Averages (FG%):

Per Game Averages (3pt. FG%):

Per Game Averages (Free Throw %):

Per Game Averages (Team Record):

Athletic Honors:

High School Coach's Name:

Phone:

AAU Team:

AAU Coach's Name:

Phone:

Su	Mo	Tu	We	Th	Fr	Sa
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5	6	7	8	9	10	11
12	13	14	15	16	17	18
19	20	21	22	23	24	25
26	27	28	29

Darton College

Darton Basketball Prospect Questionnaire

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Information

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