Recruiting Questionnaire

Please answer the following questions.  All fields except the final two are required if you would like an answer.  Please make sure your phone number and e-mail address are correct. 

Click the Submit button upon completion.

Name:

School (include City and State if not in Pennsylvania):

Position:

Height:     Weight:   40 time:

Class (Indicate if you are or are going to be a Freshman, Soph, Jr, or Sr):

E-mail Address:

Instant Messenger (I.M.) Name:

Home Phone or Contact Number**:

Cell Phone or Second Number**:

Coach's Name:

Coach's Contact Number:

Please list the schools you are considering here (without a list of schools, your name will be more difficult to find in the Scout.com database):

Please list the schools that have offered you here:

In this field, include any awards, achievements, stats, other sports played, or things you would like us to know about you:

We (or another Scout.com site closer to your region or schools of interest) may be using the contact information sent to us via this form to contact you for updates.  Please indicate if there is a time and/or day(s) that you would prefer to be contacted:

**-Note: As previously mentioned, your phone number may be used for contact from this site or other Scout.com sites throughout the year for recruiting updates. If you submit your number but discover later on that you would rather not be contacted, e-mail blichtenfels@scout.com and let us know.

Thank you for submitting this questionnaire!!!