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SCC Lady Saint's Basketball

Lady's Basketball Recruitment Questioinnaire

If you are using a forms-capable web browser, you may fill out the following admission information form for Shawnee Community College. Forms must be filled out completely. Or if you prefer, you may follow this link to print the questionaire and send it to S.C.C through the U.S. Mail.

If you have questions, please direct them to: loub@shawneecc.edu
Or phone (618) 833-3399 ext. 115 to speak with the lady's basketball coach.

* Indicates a required field.

Personal Information

* First Name:
Middle Initial:	.
* Last Name:
* Address:
* City:
* State:
* Zip Code:
* Home Phone:
Cell Phone:
* e-mail:	Note:If you do not have a valid e-mail address, you cannot complete the questionaire online. To get an e-mail address contact your local Internet Service Provider (ISP), or sign up for a free Yahoo e-mail account by clickling here.
* Birth Date:		(MM/DD/YY)

* Social Security Number:

* Parent/Guardian Name:

* Height:

* Weight:

* Intended Field of Study:

High School Information

* Name High School:
* City:
* State:
* Year of high school graduation:
* Class Rank:
* A.C.T. Score:
* GPA:
* Team Record:
* Free Throw %:
* 2 pt. Field Goal %:
* 3 pt. Field Goal %:
* Avg. Points per Game:
* Avg. Assists per Game:
* Avg. Steals per Game:
* Avg. Rebounds per Game:
* Vertical Jump Height:
* Position(s):
* Preferred Position(s) in College:

Athletic Honors:

Academic and Other Honors:

* Best time to make contact:

* Please Note: This process does not check for spelling or accuracy of the information you enter. It is your responsibility to insure that the information is correct. A typing error in your e-mail address and/or phone number could cause a communication breakdown, leaving our student advisors with no means to contact you and complete your registration request. Please double check that your e-mail address and phone number are correct before proceeding.

For More Information phone or e-mail:

Lou Basler
Women's Basketball Coach
618-833-3399 ext. 115
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Mike Fitzgerald
Athletic Director
618-634-3278

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