Women's Basketball Athletic Survey

Sports Interest :*

*Required

Academic Information
High School:
City:
State:
Current Grade:
Graduation Date:
GPA(4.00 Scale):
Class Rank:
SAT:
ACT:
Academic Honors:
Intended Major
Have you registered with NCAA Eligibility Center: Yes No
If Yes, ID#
Are you currently enrolled, or have you been enrolled in a two or four-year college?: Yes No
College:		Date:
College:		Date:
College:		Date:

Athletics Information
Height:
Weight:
Position(s):
Left or Right Handed?:
Describe Your Role on your High School team:
Team & Individual Athletic Honors(Include Year):
Links to Basketball Scouting Service/Profiles/Videos:
Hight School Coach:		Phone:
AAU Team
AAU Coach Name:		Phone:
Do you have a skills video available?: Yes No
List any additional sports in which you currently or in the past participated:
Do you have any relatives who have attended or currently attend Mount Olive College? Yes No
If Yes, list the relatives and what sports they play(ed), if any.
Tell us why you're interested in Mount Olive College :
Would you like to receive a complete admissions packet and application? Yes No