Stanstead College Basketball Questionnaire
NAME _______________________________________ DATE __________________________________ DATE OF BIRTH _______________________________ HEIGHT _____________ WEIGHT ___________ HOME ADDRESS ________________________________________________________________________ _____________________________________________________________________________________ PHONE ______________________________________ FAX ___________________________________ EMAIL _______________________________________ CELL __________________________________ FATHER’S NAME _______________________________ OCCUPATION ___________________________ MOTHER’S NAME ______________________________ OCCUPATION ___________________________ CURRENT SCHOOL ______________________________________________________________________ CURRENT GRADE ______________________________ APPROXIMATE GRADE AVERAGE ___________ % CURRENT TEAM ________________________________________________________________________ COACH ______________________________________ PHONE ________________________________ POSITION ____________________________________ RIGHT‐HANDED LEFT‐HANDED AVERAGE: POINTS PER GAME ________ ASSISTS PER GAME ________ REBOUNDS PER GAME ________ HONOURS ____________________________________________________________________________ OTHER SPORTS _________________________________________________________________________ OTHER INTERESTS ______________________________________________________________________ OTHER SCHOOLS SHOWING INTEREST ______________________________________________________ HOW DID YOU HEAR ABOUT OUR SCHOOL? __________________________________________________ YOUR IMPRESSIONS OF STANSTEAD COLLEGE: HIGHLIGHTS VIDEO ATTACHED TO EMAIL URL: ______________________________________________ SUBMIT BY EMAIL
For more informa on, contact Mark Bembenek, Director of AthleƟcs, at (819) 876‐7891, ext. 234 or email [email protected]. Thank you for your interest.