Home Player Prospect Questionnaire Personal Information Graduation Year ---2010201120122013201420152016201720182019202020212022 First Name Middle Name Last Name Prefered Name Address City State ---ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYOther Zip Email Date Of Birth Home Phone Phone Clearing House Id Facebook Twitter Family Information Father's Name Father's Occupation Father's Employer Father's Home Phone Father's Work Phone Father's Phone Father's Email Father's College Mother's Name Mother's Occupation Mother's Employer Mother's Home Phone Mother's Work Phone Mother's Phone Mother's Email Mother's College I Live With ---BothMomDadI live with Other If Other The names and ages of my siblings are Marital Status ---SingleMarriedDivorcedOther Family member that participated in collegiate/professional sports ---YesNO What sport? Something we should know about you Marital Status ---CellEmailHomeFacebook Athletic Information Cur Pos ---PGComboWingF5 Man Points/game Assists/game Rebounds/game Blocks/game Height ---34567ft ---01234567891011in Other Sports Academic Information GPA ACT Core GPA Class Rank SAT Math SAT Written SAT Verbal Test Date Intended Course of Study Career Interest Favorite Teacher Applied to PHS Academy * ---YesNo Career Interest ---ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYOther School Name AAU/Club Team Information Club Team Name Coach First Name Coach Last Name Coach Work Phone Coach Cell Phone Coach Email Alma Mater My top priorities in choosing a college program are: 1. 2. 3. The students and alums I know are: My favorite hobbies are: The person that will help me choose a college is: The 5 schools I plan to visit or are most interested in attending are: 1. 2. 3. 4. 5. Rate you Interest Level in PHS Academy ---ExcellentAbove AverageAverageBelow Average Transcript Release I authorize the release of my transcript and test scores to PHS Academy.
