Lady Texan Basketball Recruitment Form

Email Secondary Email

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This form is for potential student-athletes interested in the South Plains College Lady Texan Basketball program. The form is automatically emailed to the women's basketball coaches when it is submitted.

PERSONAL INFORMATION

Email address *

First name

Last name

Address 1

Address 2

City

State

ZIP Code

Cell Phone Number

Height

Weight

Date of Birth

MM / DD / YYYY

Birth Place

Are you Married?

Yes No

Father's Name

First and Last

Father's Email

Father's Phone Number

(###) - ### - ####

Father's Occupation / Employer

Mother's Name

First and Last

Mother's Email

Mother's Phone Number

(###) - ### - ####

Mother's Occupation / Employer

Number of Siblings

What are the Names and Ages of your Siblings?

Example: Jon Doe, brother (22), Jane Doe, sister (15)

SCHOLASTIC INFORMATION

High School

High School Address

Street / City / State / Zip

High School Phone Number

(###) - ### - ####

High School Principal

Expected Graduation Year

GPA

Class Ranking

ACT Score

SAT Score

Intended College Major

Top Three College Choices

ATHLETIC INFORMATION

Name of High School Coach

First and Last

Coach's Phone Number

(###) - ### - ####

Name of AAU Coach

First and Last

AAU Coach's Phone Number

(###) - ### - ####

Positions Played

Scoring Average

This year and last

Field Goal Percentage

Other current statistics:

Athletic and/or Academic Honors/Awards:

Are game/match tapes available?

Yes No

* required field