search search close close

Bluejay & Lady Jay Athletics

Recruit Questionnaire:  Men's Basketball


Complete the form and submit.

Personal Information
Last name:*
Invalid Input
First name:*
Invalid Input
Street address:*
Invalid Input
City:*
Invalid Input
State:*
Invalid Input
Zip code:*
Invalid Input
Home phone:*
Invalid Input
Cell phone:*
Invalid Input
Email:*
Invalid Input
Birth date:*
Invalid Input
Family Information
Father/Guardian's name:
Invalid Input
Father/Guardian's phone:
Invalid Input
Father/Guardian's email:
Invalid Input
Mother/Guardian's name:
Invalid Input
Mother/Guardian's phone:
Invalid Input
Mother/Guardian's email:
Invalid Input
Academic Information
High School attended:
Invalid Input
Address:
Invalid Input
City:
Invalid Input
State:
Invalid Input
Zip code:
Invalid Input
Graduation date:
Invalid Input
Class rank:
Invalid Input
GPA:
Invalid Input
ACT score:
Invalid Input
SAT score:
Invalid Input
Probable course of study in college:
Invalid Input
Athletic Information
Height:
Invalid Input
Weight:
Invalid Input
Position/Weight class:
Invalid Input
Other sports played:
Invalid Input
Coach's name:
Invalid Input
Coach's email:
Invalid Input
Coach's school phone:
Invalid Input
Coach's home phone:
Invalid Input
Friends/Alumni at Minnesota West:
Invalid Input
Position you would like to play in college?
Invalid Input
How did you hear about Minnesota West?
Invalid Input

*Required field.