Drury University

Athletic Questionnaire - Women's Basketball

HeadBasketball Coach

Steve Harold
phone:417-873-7853
fax: 417-873-7510
sharold@drury.edu

* RED Questions are Required
Personal Information
Last Name:
First Name:
Middle Name:
Phone Number:
Cell Phone:
Street:
City:
State:
Country:
Zip Code:
Social Security Number: (ex. 555-55-555)	(Check out Drury Internet Privacy Policy)
Date of Birth: (mm/dd/yy)
Gender:
E-mail Address:
Father's Name:
Father's Occupation:
Father's Day Phone:
Mother's Name:
Mother's Occupation:
Mother's Day Phone:
List any friends or relatives who have or are now attending Drury:

Academic Information
High School or Junior College:
Address:
City:
State:
Zip Code:
Guidance Counselor:
Principal:
School Phone:
Graduation Date:	Month Year
Intended Major(s):
GPA:
Class Rank:	/
PSAT Score:
Date taken (MM/DD/YY):	/ /
ACT Score:
Date taken (MM/DD/YY):	/ /
Athletic Director:
SAT Score:
Date taken: (MM/DD/YY):	/ /
TOEFL Score (foreign students only):
Date taken: (MM/DD/YY):	/ /

Athletic Information
H.S. Coach:
Day Phone (ex. xxx-xxx-xxxx):
Eve.:
AAU Coach:
Day Phone (ex. xxx-xxx-xxxx):
Eve.:
Age:
Height:
Weight:
Position(s):
Jersey#:
Years lettered:
Other Sports:
Points per game:	JR SO
Rebounds:	JR SO
Assists:	JR SO
Steals:	JR SO
FG%:	JR SO
FT%:	JR SO
Game tape available?	Yes No
Honors and Recognition (Regionals, Nationals, etc.):
Other schools you are considering:

*Please email a schedule of upcoming tournaments and a detailed resume with all your tournament scores!