Women's Basketball Questionnaire
If you are interested in attending Delaware State University to pursue your undergraduate degree and play women's basketball, please complete the entire questionnaire and we will be in contact with you. Thanks for your interest in Delaware State University

Required Fields in Bold
 
PERSONAL
First Name
 
Last Name
 
Email Address
 
 
Home Phone
 
Cell Phone
 
Home Address
 
State
 
City
 
Zip Code
 
Father's Name
 
Mother's Name
 
Mothers Occupation
 
Fathers Occupation
 
 
ACADEMIC
High School or Junior College
 
Address
 
Date of Graduation
 
Class Rank:
 
GPA
 
SAT Score:
 
ACT Score:
 
Intended Major (if undecided, please put undecided)
 
Have you applied to Delaware State University?
 
Yes
No
Have you registered with the NCAA Clearinghouse?
 
Yes
No
List Academic Honors:
 
 
ATHLETIC INFORMATION
Junior College or Club Team
 
Upcoming Tournaments:
 
Name of Junior College or Club Team Coach:
 
Coach Phone Number
 
Name of High School Coach:
 
High School Coach Home Phone Number
 
High School Coach Work Phone Number
 
Position Played
 
Your Jersey Number:
 
Do You Have A Video Available?
 
Yes
No
List Your Athletic Achievements:
 
Other Schools You Are Considering:
 
Additional Comments or Questions You May Have:
 


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