Whittier College Men's Basketball
Prospective Student-Athlete Questionnaire


General Information

First Name

Last Name

Date of Birth

Email Address

Home Address

City

State

Zip

Home Phone Number

Cell Phone Number

Mother's Name

Mother's Occupation

Father's Name

Father's Occupation

Do you reside with both parents?

Brothers & Sisters
(Names & Ages)


Academic Information

High School

City/State

SAT Critical Reading

SAT Math

SAT Writing

SAT Total

ACT COMP

ACT English

ACT Math

Month/Year of Graduation

Rank in Class

GPA

Potential College Major

1.

 

2.


Athletic Information

Head Coach's Name

League/Division

Height

Weight

Primary Position

Jersey #

Other Varsity Sports

Honors