CLEVELAND STATE COMMUNITY COLLEGE
P.O. Box 3570
Cleveland, TN 37320-3570

Coach Dan Lumpkin
Women's Basketball Coach

Women's Basketball Prospect Questionnaire


Personal Information

Name
Address
City  State  Zip Code
Home Phone Number  Birthday
Mother  Alma Mater Year:
Father  Alma Mater Year:
Mother's Occupation Phone Number:
Father's Occupation Phone Number:
Sister(s) - Age(s)
Brother(s) - Age(s)


Academic Information

High School   Graduation Date:
Address
City  State  Zip Code
School Phone Number Guidance Counselor:
Major Interest

 

Athletic Information

Position  Height Weight
Points Per Game Rebounds Per Game Assists Per Game
Field Goal %  3 PT % FT %
Team Record   Team Honors:
Head Coach  Alma Mater: Year:
Home Phone Number  School Phone Number
AAU Program  Head Coach
Home Phone  Office Phone