Chattanooga Women's Basketball Questionnaire
Please complete the entire questionnaire The completion of this form does not commit you to the University of Tennessee at Chattanooga.
This form is for informational purposes only. All information will be kept confidential.

Required Fields in Bold

Personal Information

Zip Code
Home Phone
Cell Phone
E-Mail Address
Date of Birth (mm/dd/yyyy)
NCAA Clearinghouse #
Mother's Name
Mother's E-Mail Address
Mother's Occupation
Mother's Alma Mater
Father's Name
Father's E-mail Address
Father's Occupation
Father's Alma Mater
Academic Information

High School
School Phone Number
School Address
High School
School City
School State
School Zip Code
School Website
Year of Graduation
SAT Total Score
SAT Verbal Score
SAT Math Score
ACT Total Score
Are you currently in a dual enrollment program
Athletic Information

Club Team
Club Director
Club Team Coach
Club Coach's Phone Number
Club Coach's E-Mail Address
Club Team Website
Club Team Uniform #
Club Tournaments you will attend: Name/Location
Club Team Honors
Club Individual Honors
Do you have a highlight video available?
Primary Postion (Club Team)
Secondary Position (Club Team)
High School Coach
High School Coach's Phone
High School Coach's E-Mail Address
High School Uniform Number
High School Tournaments you will attend: Name/Location
High School Team Honors
High School Individual Honors
Primary Postion (High School)
Secondary Position (High School)
40-yard dash time
Other Information

Reason for your interest in Chattanooga
What level of interest do you have in Chattanooga?
What major area of study are you interested in?
Do you have any friends or family at Chattanooga? If so, who?
Other schools you are interested in
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