Basketball Questionnaire

For more information call Coach Giorlando at (c) 504-258-6794 or (o) 504-864-7711; or email video and questionnaire to giorland@loyno.edu.

Contact Information

Name: *

Date of birth: *

E-mail address: *

Phone number: *

Cell number:

Address: *

City: *

State:

Zip code:

Father's name:

Father's occupation:

Mother's name:

Mother's occupation:

School Contact Information

School: *

School phone number: *

Address: *

City: *

State:

Zip code:

Coach: *

Coach phone number: *

Coach e-mail address: *

Academic Information

GPA (core cumulative): *

ACT score:

SAT score:

Intended major:

Intended graduation year: *

Sport Information

Position: *

Height: *

Weight: *

PPG: *

RPG: *

APG: *

FT%: *

FG%: *

3PT%: *

AAU team:

AAU coach name:

AAU coach phone number:

AAU coach e-mail address:

In addition to this completed questionnaire, please submit a game schedule and/or a recent highlight tape/DVD to:

Dr. Michael Giorlando, Head Coach
Loyola Wolfpack
6363 St. Charles Ave. – Box 53
New Orleans, LA 70118

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