WOMEN'S BASKETBALL

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.

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Personal Information

Name:*

Street:*

City:*

State/Province:*

Zip/Postal Code:*

Country:*

Phone:*

Email:*

Date of Birth:

Mother's/Guardian's Name:

Father's/Guardian's Name:

Please name two people who will influence your decision in choosing a college:

Name:
Relationship:

Name:
Relationship:

Basketball Experience

High School Coach:

Coach's Home Phone:

Coach's Work Phone:

Your Years on Varsity:

Height:

Position:

Average Points per Game:

Average Rebounds per Game:

Average Assists per Game:

Do you have any game films available?
Yes
No

Other Sports Played:

Other Activities:

Honors/Awards:

Please name the three best players in your conference:

Name:
School:

Name:
School:

Name:
School:

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 Mark Miller
mmiller@norwich.edu
802.485.2229

Women'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 Miller for review and feedback.

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