MEN'S BASKETBALL

If you are a prospective student interested in participating in the Norwich basketball program, our coaching staff would appreciate your completing this questionnaire.

All data collected is private and confidential. Information will be used only internally and will not be released to persons or institutions outside Norwich University without your written consent.

* = REQUIRED

Contact Information

Name:*

Street:*

City:*

State/Province:*

Zip/Postal Code:*

Country:*

Phone:*

Email:*

Personal Information

Date of Birth:

Height:

Weight:

Mother's/Guardian's Name:

Father's/Guardian's Name:

Basketball Experience

High School Coach:

Coach's Home Phone:

Coach's Work Phone:

Your Years on Varsity:

Positions:

Average Points Per Game:

Average Rebounds Per Game:

Do you have any game films available?
Yes
No

Academic Information

High School

School Name:

Street Address/PO Box:

City:

State/Province:

Zip/Postal Code:

Guidance Counselor:

Guidance Counselor Phone:

Your Graduation Year:

GPA:

SAT Score - Verbal:

SAT Score - Math:

ACT Score:

Academic/Career Interests:

Questions/Suggestions

Questions/Suggestions:

Contact Information

Head Coach Paul Booth
pbooth@norwich.edu
802.485.2239

Men's Basketball
Norwich University
158 Harmon Drive
Northfield, VT 05663 USA

If possible, please send a VHS or DVD of one of your basketball games to Coach Booth for review and feedback.

Send Request

To send your request, press Submit.