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Introduction Section
WELCOME TO THE CAL POLY WOMEN'S BASKETBALL QUESTIONNAIRE!!!
Questionnaire Code
(not required):
Personal Information
First Name:
Middle Name:
Last Name:
Preferred Name:
Country:
United States
Anguilla
Antigua
Aruba
Bahamas
Barbados
Belize
Bermuda
Virgin Islands
Canada
Caymans
Clipperton Island
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Greenland
Grenada
Guadeloupe
Guatemala
Haiti
Honduras
Jamaica
Martinique
Mexico
Montserrat
Antilles
Nicaragua
Panama
Saint Barthélemy
Saint Kitts
Saint Lucia
Saint Martin
Saint Pierre
Saint Vincent
Trinidad and Tobago
Caicos Islands
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Falkland Islands
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kazakhstan
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Turkey
Ukraine
United Kingdom
Vatican City
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Canary Islands
Cape Verde
Central African Republic
Chad
Comoros
Ivory Coast
Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Guinea
Guinea-Bissau
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Congo Republic
Reunion
Rwanda
Saint Helena
Sao Tome
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
Tanzania
Togo
Tunisia
Uganda
Western Sahara
Zambia
Zimbabwe
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei
Cambodia
China
Christmas Island
Cocos Islands
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Macau
Malaysia
Maldives
Mongolia
Burma
Nagorno-Karabakh
Nepal
Oman
Pakistan
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Timor-Leste
Turkmenistan
United Arab Emirates
Akrotiri and Dhekelia
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Caledonia
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Cook Islands
French Polynesia
Niue
Norfolk Island
Pitcairn Islands
Tokelau
Hong Kong
Address Type:
Billing
Business
Campus
Home
Mailing
Physical
Shipping
Street Address:
City:
State:
---Select State---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist. of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Guam
Mariana Islands
Minor Out. Is.
No State
Armed Forces Pacific
Zip:
Grad Year:
---Grad Year---
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
Date of Birth:
Email Address:
Home Phone:
Mobile Number:
Skype:
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:
Male
Female
Another Legal Sex
Not Available
Parent 1's Address (If Different):
Parent 1's City:
Parent 1's State:
---Select State---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist. of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Guam
Mariana Islands
Minor Out. Is.
No State
Armed Forces Pacific
Parent 1's Zip:
Parent 1's Occupation:
Parent 1's Email Address:
Parent 1's Cell Phone:
Parent 1's Business Ph.:
Parent 1's College:
Living With:
Yes
No
Siblings (Names & Age):
Parent 2's First Name:
Parent 2's Last Name:
Parent 2's Gender:
Male
Female
Another Legal Sex
Not Available
Parent 2's Address (If Different):
Parent 2's City:
Parent 2's State:
---Select State---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist. of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Guam
Mariana Islands
Minor Out. Is.
No State
Armed Forces Pacific
Parent 2's Zip:
Parent 2's Occupation:
Parent 2's Email Address:
Parent 2's Cell Phone:
Parent 2's Business Ph.:
Parent 2's College:
Living With:
Yes
No
Most Influential People in Your Life: (1)
Most Influential People in Your Life: (2)
Guardian Information
Guardian's First Name:
Guardian's Last Name:
Guardian's Address (If Different):
Guardian's City:
Guardian's State:
---Select State---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist. of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Guam
Mariana Islands
Minor Out. Is.
No State
Armed Forces Pacific
Guardian's Zip:
Gender:
Male
Female
Another Legal Sex
Not Available
Guardian's Occupation:
Guardian's Email Address:
Guardian's Cell Phone:
Guardian's Business Ph.:
Guardian's College:
Living With:
Yes
No
Academic Information
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No schools matching "{{sd.searchText}}" were found.
School Name:
School Address:
School City:
School State:
---Select State---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist. of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Guam
Mariana Islands
Minor Out. Is.
No State
Armed Forces Pacific
School Zip:
School Phone#:
School Fax#:
Counselor's First Name:
Counselor's Last Name:
Counselor's Phone:
Counselor's Fax:
Counselor's Email:
GPA:
SAT Test Date:
SAT Reading:
SAT Math:
SAT Writing:
SAT Composite:
ACT Test Date:
ACT Sum Score:
ACT Composite:
ACT English:
ACT Math:
ACT Reading:
ACT Science:
TOEFL:
Class Rank:
Out Of
Intended Major:
Have you Joined the Eligibility Center?
Yes
No
Eligibility ID:
Club Information
Club Name:
Club Address:
Club City:
Club State:
---Select State---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist. of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Guam
Mariana Islands
Minor Out. Is.
No State
Armed Forces Pacific
Club Zip:
Club Coach:
Club Coach Cell:
Club Coach Office:
Club Coach Home:
Club Coach Email:
Athletic Information
Height
Select
8' 11"
8' 10"
8' 9"
8' 8"
8' 7"
8' 6"
8' 5"
8' 4"
8' 3"
8' 2"
8' 1"
8' 0"
7' 11"
7' 10"
7' 9"
7' 8"
7' 7"
7' 6"
7' 5"
7' 4"
7' 3"
7' 2"
7' 1"
7' 0"
6' 11"
6' 10"
6' 9"
6' 8"
6' 7"
6' 6"
6' 5"
6' 4"
6' 3"
6' 2"
6' 1"
6' 0"
5' 11"
5' 10"
5' 9"
5' 8"
5' 7"
5' 6"
5' 5"
5' 4"
5' 3"
5' 2"
5' 1"
5' 0"
4' 11"
4' 10"
4' 9"
4' 8"
4' 7"
4' 6"
4' 5"
4' 4"
4' 3"
4' 2"
4' 1"
4' 0"
Weight (in lbs.)
Jersey #
Events
Mater Dei & USJN
Redondo Beach Tournament
La Jolla Country Day Sweet 16
Laney College Shootout
Arizona Elite Tournament
USJN Spring Classic
Boo Williams
USJN Spring Classic 15
Arizona Elite Tournament 2015
WCP Spring Classic 2015
West Coast Spring Shootout 2015
EBX Spring 2015
2016 Blue Star Jamboree
2016 Lone Wolf Summer Shootout
2016 North Atlantic Elite 100 Exposure
2016 OGBR Skills Camp
2016 USJN's Empire State Showcase
2016 Game Time Basketball League Session 1
2016 Insider Exposure Summer Tip-Off
2016 Girl's Exposure Event
2016 Super 64 National Championship
2016 AAU Girls basketball 9th grade Super Showcase
2016 AAU Girls Basketball 10th Grade Super Showcase
2016 AAU Girls basketball 11th grade Gold Super Showcase
2016 Big State Flava Jam
2016 Blue Chip Basketball USA Invitational
2016 Cali Summer Tip Off
2016 California Storm National Showcase
2016 Change the Game Classic
2016 End of Trail National Showcase
2016 Run for Roses Classic
2016 Simply the Best
2016 Suwanee Tournament of Champions
2016 Under Armour National Championship
2016 USJN's Las Vegas Challenge
2016 USJN's Premier Showcase MIDWEST
2016 USJN's Premier Showcase EAST
2016 AAU Girls Basketball 9th Grade D1 National Championship
2016 AAU Girls Basketball 9th grade DII National Championship
2016 AAU Girls Basketball 10th Grade DII Championship
2016 AAU Girls basketball 10th grade DI Championship
2016 AAU Girls basketball 11th Grade DI National Championship
2016 AAU Girls Basketball 11th Grade DII National Championship
2016 Bigfoot Hoops Orlando Classic
2016 USJN's New Emgland Summerfest
2016 Apache Paschall Memorial Showcase
2016 Windy City Showcase
2016 Womens OFY Top Talent Showcase
2016 Chicago Summer Jam
2016 The Meltdown
2016 Sun City Showcase
2016 Women's Grand Finale
2016 Ballers Only
2016 Give It All U Got
2016 Music City Invitational
2016 OGBR Crystal Ball
2016 Flyswift-Summer Jam
2016 Showtime Unlimited
2016 Girls Of Summer Showcase
2016 USJN's Indy 100
2016 Women's Big Time Hoops
2016 Women's Super 100 National Championship
2016 Sanford Pentagon Dakota Challenge
2016 Lake Las Vegas Classic
2016 Adidas Uprising Gauntlet-Finale
2016 Battle in the Boro
2016 Cal Swish Summer Classic
2016 EYBL-Nashville
2016 Linda Frohlich Lebe Deine Vision Exposure Camp Combine
2016 MSNM National Championship
2016 Nashville Tournament of Champions
2016 Nike EYBL Chicago
2016 Nike Tournament of Champions: Chicago
2016 Nike Tournament of Champions: Chicago
2016 NW Championship Challenge
2016 USJN's East Coast Challenge
2016 USJN's Sooner State Challenge
2016 USJN's Midwest Summer Challenge
2016 IHSAA/IBCA Top 100
2016 Game Time Basketball League Session 2
2016 AAU Girls 9th Grade Las Vegas Showcase
2016 AAU Girls 10th Grade Las Vegas Showcase
2016 AAU Girls 11th Grade Las Vegas Showcase
2016 Bigfoot Hoops Las Vegas Classic
2016 Classic in the North
2016 Global Jam
2016 Mid America Showcase
2016 San Diego International Games
2016 PBLS Finale National Championship
2016 Under Armour Midwest Championships
2016 Ballin in the Ballroom
2016 East Coast Championships
2016 Elite Summer Classic
2016 MSNM **The Dream**
2016 N'Awlins Elite Showcase
2016 North Tartan Meltdown
2016 NW Summer Showcase
2016 Tournament of Champions: Atlanta
2016 USJN's Best of the Southwest
2016 USJN's Midwest Summer Showcase
2016 USJN/Nike 17U National Championships
2016 West Coast Summer Showcase
2016 ATL Summer Slam
2016 Las Vegas Fab 40 Girls
2016 DC Metro College Showcase
2016 MHSAA/BCAM Reaching Higher Event
2016 Bigfoot Hoops Las Vegas Last Call
2016 USJN/Nike 15U-12U National Championships
2016 USJN's Summer Final-MIDWEST II
2016 PASS Showcase
2016 Texas Elite Classic
2016 Under Armour Best of Maryland
2016 Summer Basketball Playoff
2016 Game Time Basketball League Session 3
2016 Adidas Summer Championship
2016 Blue Chip Summer Grand Finale
2016 Blue Star Nationals (8th Annual-Agusta)
2016 EBX Summer in the City
2016 Grand Finale Showcase
2016 The Last Dance
2016 Maroon and White War
2016 MSNM Western Championships
2016 Nike Nationals
2016 Swoosh Summer Finale
2016 UA Cup
2016 USJN's Mountain Madness
2016 USJN's Summer Final-MIDWEST
2016 Elite 24 Game
2016 Future Stars USA
2016 Women's PrimeTime Sports National Basketball Championship
2016 East Coast Girls Basketball Association College Showcase
2016 Houston Live Top 100 Girls Camp
2016 Girls Academic Elite
2016 Battle of Fort Stephenson
2016 Last Chance Dance
2016 OGBR vs MGBR Border Battle
USN Octoberfest 2016
West Coast Jamboree
Positions
Basketball
Point Guard
Shooting Guard
Center
Guard
Forward
Other Questions
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:
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School Name:
OR :
State:
---State---
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
Dist. of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Mariana Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
No State
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
City:
Club Name:
Team Name:
Coach Last Name:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist. of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Guam
Mariana Islands
Minor Out. Is.
No State
Armed Forces Pacific
City:
Club Name:
Team Name:
Club State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist. of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Guam
Mariana Islands
Minor Out. Is.
No State
Armed Forces Pacific
Club Coach First Name:
Club Coach Last Name:
Club Coach Email:
Club Coach Mobile:
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