Langara. Athletics & Intramurals: Recruiting: Basketball Recruitment Form

PLAYER PROFILE

Team of interest:

Men's basketball Women's basketball

Birthdate:

Positions preferred:

Other positions:

Height:

Weight:

You are a(n):

CONTACT INFORMATION

Name:

Address:

City:

Province:

Postal Code:

Email:

Phone:

Home
Cell

HIGH SCHOOL INFORMATION

High School Attended for
Grade 12:

Grade Point Average:

Grade 11 Grade 12

POST-SECONDARY INTERESTS

What program(s) are you interested in taking?
(i.e. Arts & Science, Human Performance, etc.)
View Programs Available at Langara

Have you applied to Langara College?

Yes No

IF YES, date of application:

PLAYER EXPERIENCE

Please fill in any information that applies to your playing experience

Athletic Achievements/
Accomplishments:

High School:

Name of Coach:

Phone:

College/Univ:

Name of Coach:

Years:

(e.g. 2008-2009)

Club Team:

Club Level:

(if applicable)

Name of coach:

Phone:

Provincial Team:

Yes No

Province:

(e.g. BC, Alberta etc.)

Age Level:

(e.g. U19, U16 etc.)

Name of Coach:

Phone:

National Team:

Yes No

Country:

Name of Coach:

Phone: