Introduction Section
Thank you for your interest in Wake Forest University and our men's basketball program. By filling out the questionnaire completely, you will not only help the coaching staff contact you regarding participation in men's basketball, but also begin the process of reviewing your academic information.

Choosing a College is a tremendous journey in a student athlete's career. We at Wake Forest University are honored that you have chosen to include us in your search.

Jeff Bzdelik
Head Coach
Questionnaire Code
(not required):
Personal Information
First Name:
Middle Name:
Last Name:
Preferred Name:
Country:
Street Address:
City:
State:
Zip:
Grad Year:
Date of Birth:
Email Address:
Home Phone:
Mobile Number:
FaceBook:
paste the URL from your Facebook profile
Twitter:
@
enter your twitter username only
Parent(s) Information
Mother's First Name:
Mother's Last Name:
Mother's Address (If Different):
Mother's City:
Mother's State:
Mother's Zip:
Mother's Occupation:
Mother's Email Address:
Mother's Cell Phone:
Mother's College:
Living With:
Siblings (Names & Age):
Father's First Name:
Father's Last Name:
Father's Address (If Different):
Father's City:
Father's State:
Father's Zip:
Father's Occupation:
Father's Email Address:
Father's Cell Phone:
Father's College:
Living With:
Most Influential People in Your Life: (1)
Guardian Information
Guardian's First Name:
Guardian's Last Name:
Guardian's Address (If Different):
Guardian's City:
Guardian's State:
Guardian's Zip:
Gender:
Guardian's Occupation:
Guardian's Email Address:
Guardian's Cell Phone:
Living With:
Academic Information
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 Writing:
SAT Composite:
ACT Test Date:
ACT Sum Score:
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 Email:
Athletic Information
Height
Weight (in lbs.)
Jersey #


Positions
When you have completed this questionnaire please click submit questionnaire.
School Name:
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: