Pikeville College - Athletics - Women’s Basketball - Questionnaire

Pikeville College women’s basketball prospective student-athlete questionnaire.

 
 

Prospective Student-Athlete Questionnaire

Please complete all fields as accurately as possible. When finished, click “Submit” at the bottom to send your information. Click “Clear” to clear the questionnaire and start over.

     Personal information     
Name:

E-mail address:

Home telephone number:

Cellular telephone number:

Home mailing address:

City:

State:

ZIP:

Parent/Guardian:

     Education     
High School:

City/Town:

Telephone number:

Coach’s name:

GPA:

Graduation year:

Number in graduating class:

ACT:

SAT:

Academic Major/Interest:

     College education, if applicable     
Institution:

City/Town:

Telephone number:

Head coach:

GPA:

Hours passed:

     Statistical information     
Height:

Weight:

Position(s) played:

Points per game:

Rebounds per game:

Assists per game:

Steals per game:

Team record:

Individual honors and awards received:

Other schools that have contacted you about athletics:

Other sports played in high school:

Have you had any serious injuries?


If yes, please explain:

To help fight spam, Pikeville College is utilizing technology to differentiate between human and robotic visitors to our Web site. To ensure that this form is submitted by a human, you will be required to complete a simple test. For help, click the “question mark” icon below.