Recruiting

Basketball Recruitment Form

NOTE: THIS IS NOT AN APPLICATION FORM TO ATTEND LANGARA

PLAYER PROFILE
Team of interest:	Men's basketball Women's basketball
Birthdate:
Positions preferred:
Other positions:
Height:
Weight:
CONTACT INFORMATION
Name:
Address:
City:
Province:
Postal Code:
Email:
Phone:	Home Cell
HIGH SCHOOL INFORMATION
High School Attended for Grade 12:
Grade Point Average:	Grade 11 Grade 12
POST-SECONDARY INTERESTS
What program(s) are you interested in taking? (i.e. Arts & Science, Human Performance, etc.) View Programs Available at Langara

Have you applied to Langara College?	Yes No
IF YES, date of application:
PLAYER EXPERIENCE Please fill in any information that applies to your playing experience
Athletic Achievements/ Accomplishments:
High School:
Name of Coach:
Phone:

College/Univ:
Name of Coach:
Years:	(e.g. 2008-2009)

Club Team:
Club Level:	(if applicable)
Name of coach:
Phone:

Provincial Team:	Yes No
Province:	(e.g. BC, Alberta etc.)
Age Level:	(e.g. U19, U16 etc.)
Name of Coach:
Phone:

National Team:	Yes No
Country:
Name of Coach:
Phone: