Introduction Section
Thank you for your interest in becoming a man of William Jessup University Basketball.

At Jessup we have the highest standards for our men of WJU Basketball academically, athletically, socially and spiritually. We are looking for the few special young men that are willing, capable and called to meet those standards.

Our goal is to utilize basketball as a tool to impact our athletes in a positive way giving all the glory to God. Our program is built to honor God in all things on and off the court. We aim to become the flagship NAIA basketball program in the country.

Please fill out the questionnaire if you feel called to rise up to the challenge of becoming a man of William Jessup University Basketball.

Matthew 7:13-14 "Enter through the narrow gate. For wide is the gate and broad is the road that leads to destruction and many enter it. But small is the gate and narrow the road that leads to life, and only a few find it."
Questionnaire Code
(not required):
Personal Information
First Name:
Middle Name:
Last Name:
Preferred Name:
Country:
Address Type:
Street Address:
City:
State:
Zip:
Grad Year:
Date of Birth:
Email Address:
Home Phone:
Mobile Number:
FaceBook:
Twitter:
@
Instagram:
@
What is your connection to this university:
Parent(s) Information
Parent 1's First Name:
Parent 1's Last Name:
Parent 1's Gender:
Parent 1's Occupation:
Parent 1's Email Address:
Parent 1's Cell Phone:
Parent 1's College:
Living With:
Siblings (Names & Age):
Parent 2's First Name:
Parent 2's Last Name:
Parent 2's Gender:
Parent 2's Address (If Different):
Parent 2's City:
Parent 2's State:
Parent 2's Zip:
Parent 2's Occupation:
Parent 2's Email Address:
Parent 2's Cell Phone:
Parent 2's College:
Living With:
Most Influential People in Your Life: (1)
Most Influential People in Your Life: (2)
Academic Information
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School Name:
School Address:
School City:
School State:
School Zip:
School Phone#:
School Fax#:
Counselor's First Name:
Counselor's Last Name:
Counselor's Phone:
Counselor's Email:
GPA:
SAT Test Date:
SAT Reading:
SAT Math:
SAT Composite:
ACT Test Date:
ACT Composite:
TOEFL:
Class Rank:
Out Of
Intended Major:
Have you Joined the Eligibility Center?
Eligibility ID:
Club Information
Club Name:
Club Address:
Club City:
Club State:
Club Zip:
Club Coach:
Club Coach Cell:
Club Coach Office:
Club Coach Home:
Club Coach Email:
Athletic Information
Height
Weight (in lbs.)
Jersey #




Events
Positions
Guards
Guards
Forwards
Forwards
Centers
Centers
Other Questions
When you have completed this questionnaire please click submit questionnaire.
School Name:
OR :
State:
City:


Club Name:
Team Name:
Coach Last Name:
State:
City:


Club Name:
Team Name:
Club State:
Club Coach First Name:
Club Coach Last Name:
Club Coach Email:
Club Coach Mobile:

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