Western New Mexico University
ATHLETIC DEPARTMENT
PO BOX 680
SILVER CITY, NM 88062
505-538-6218

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QUESTIONNAIRE

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WESTERN NEW MEXICO UNIVERSITY
MUSTANG BASKETBALL

We would appreciate you filling out this questionnaire and returning it to us as soon as possible.  Please attach a schedule of your games.  Also, please send us an unofficial copy of your transcripts.  Thank you for you time and consideration.  Good luck this season. 

PERSONAL / BASKETBALL INFORMATION
Complete the following form, then click the submit button.

First Name:
Middle Initial:
Last Name:
Graduation Date:  /
Address (street):
City:   State:  Zip Code:
Parent's Names:
Parent's Occupation: 
Home phone:  Social Security Number:
Number of Children in Family:  Height:  Weight:
Birth Date:   SAT Scores:  ACT Scores:  Class Rank:
School Name:
School Phone: 
School Address (street):
School City:   School State:  School Zip Code:
Coach:  Coach's Phone:
Team Record Last Year:  FG%:   FT%: 
Avg. Points/Game:   Avg. Rebounds/Game:
Avg. Assists/Game: 
Jersey Number :  Shoe Size:
E-mail Address:
Have you registered with the NCAA Clearinghouse? (Yes or No): 
Would you be interested in visiting our campus? (Yes or No): 

    

 

 


Western New Mexico University
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