Name DOB
SS#
Height Weight
Address
City State
Zip
Home Phone #
Cell Phone #
Email
Father's Name
Occupation
Work Phone #
Cell Phone #
Email
Mother's Name
Occupation
Work Phone #
Cell Phone #
Email
High School Information:
High School
Website
High School Address
High School GPA: ACT
Score: SAT Score: Verbal
Math
Number of graduates in class
Class Rank:
Graduation Date
High School Coach
Home Phone #
Office Phone #
Email
Positions Played
Senior Year, Stats: Scoring Avg.
Rebound Avg.
Assist Avg.
FG %
FT % 3-Point FG %
Record
Junior Year, Stats: Scoring Avg.
Rebound Avg.
Assist Avg.
FG %
FT % 3-Point FG %
Record
Sophomore Year, Stats: Scoring Avg.
Rebound Avg.
Assist Avg.
FG %
FT % 3-Point FG %
Record
Personal Honors Received (Academics or Basketball):
Junior College Information:
Junior College
Website
Graduation Date G.P.A.
Coach's Name Home
Phone #
Office Phone #
Email
Junior College, Stats: Scoring Avg.
Rebound Avg.
Assist Avg.
FG %
FT %
3-Point FG %
Record
Personal Honors Received (Academics or Basketball):
What do you intend to major in at college?
Would you be interested in attending Lyon if offered a
scholarship?
Use of this form is for information ONLY ---
There is no obligation implied.