Women's Basketball Questionnaire

Please fill out and submit the questionnaire below. The questionnaire will be submitted to Jay Butler, Head Women's Basketball Coach, Hood College, 401 Rosemont Avenue, Frederick, Md. 21701.

Personal Information
First name:*
Last name:*
E-mail address:*
Phone:*
Address:*
City:*
State:*	(none)AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirgin IslandsVermontVirginiaWashingtonWashington D.C.West VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNova ScotiaNorthwest TerritoriesOntarioPrince Edward IslandQuebecSaskatchewanYukon Territory
ZIP:*
Date of birth:*
Graduation year:*	Select date below200620072008200920102011
Parent/Guardian name(s):*
High school name:*
High school address:
High school city:*
High school state:*	(none)AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirgin IslandsVermontVirginiaWashingtonWashington D.C.West VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNova ScotiaNorthwest TerritoriesOntarioPrince Edward IslandQuebecSaskatchewanYukon Territory
High School ZIP:*
Coach:*
Coach's phone:*
Academic Information
Guidance counselor:*
Phone:*
Grade Point Average:*
P.S.A.T. Score Verbal:
P.S.A.T. Score Math:
S.A.T. Score Verbal:
S.A.T. Score Math :
Class Rank :
Anticipated college major:
Academic honors:	List academic honors here
Individual athletic honors:	List individual athletic honors here
Team accomplishments :	List team accomplishments here
Basketball Information
Position(s):*
Height:*
Points per game:*
Rebounds per game:*
Blocks per game:*
Steals per game:*
Assists per game:*
Field goal %:*
3-point %:*
Free throw %:*
AAU Team:*