Arkansas Tech UniversityArkansas Tech Athlectics

  

 

 
 
Prospects
 

Please answer all questions completely.

You may find it easier to print this form first.   Fill in all the information, then return to this screen, input the data and send it to the Coach.

General Information

Your Name:        
Graduation Date:        Residency:

Date of Birth: //

Home Address:
Mailing Address:
City:  
State:        Zip Code:
Home Phone:        
Message Phone:
Contact E-mail address:

Father's Name:
Father's Occupation:
Mother's Name:
Mother's Occupation:

School Attending:     
School Name:
Coach:       
 Athletic Phone:
Coach's Home Phone Number:
Coach's Alma Mater:

 

Academic Information

School Counselor:
School Principal:
Interested courses of study:
Number of graduates in your class:        
Your class ranking:
SAT Scores: Verbal:        Math:       
 Date Taken:
ACT Score:        Date Taken:        Cumulative GPA:
Transcript Available:

 

Basketball Information
Accuracy is important.

Height:        Weight:        Position(s):        

Sophomore Year
Average Points/Game:        Rebounds/Game:
              Assists/Game:              Team Record:

Junior Year
Average Points/Game:        Rebounds/Game:
              Assists/Game:              Team Record:

Senior Year
Average Points/Game:        Rebounds/Game:
              Assists/Game:              Team Record:

 

Do you have a videotape of your games?

Athletic honors you have received:

Other sports you play:

Any other comments for the Coach:

Your interest in attending Arkansas Tech University:
1st Choice    2nd Choice    3rd Choice
Under Consideration    Undecided

How did you find out about this site?

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Please SUBMIT this form only ONCE.

 

 

 

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