Women's Basketball

All data collected is private and confidential. Information will be used only internally and will not be released to persons or institutions outside Norwich University without your written consent.

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Personal Information

Name:*

Street:*

City:*

State/Province:*

Zip/Postal Code:*

Country:*

Phone:*

Cell Phone:*

Email:*

Best time to reach you:

Mother's/Guardian's Name:

Father's/Guardian's Name:

Basketball Experience

High School Coach:

Coach's Phone:

Coach's Email:

Your Years on Varsity:

Height:

Position:

Jersey Number:

Average Points per Game:

Average Rebounds per Game:

Average Assists per Game:

Do you have any game films available?
Yes
No

Other Sports Played:

Other Activities:

Honors/Awards:

Please name the three best players in your conference:

Name:
School:

Name:
School:

Name:
School:

Academic Information

High School

School Name:

Street Address/PO Box:

City:

State/Province:

Zip/Postal Code:

Intended Major at Norwich: Accounting Architecture Bachelor of Arts Undeclared Bachelor of Science Undeclared Biochemistry Biology Chemistry Civil & Environmental Engineering Communications Computer Engineering Computer Science Computer Securities & Information Assurance Criminal Justice Electrical Engineering English Environmental Science Geology History International Studies Management Mathematics Mechanical Engineering Nursing Physical Education Physics Political Science Psychology Sports Medicine (Athletic Training) Sports Medicine (Health Science) Studies of War & Peace

Class Rank:

Your Graduation Year:

GPA:

SAT Score - Verbal:

SAT Score - Math:

ACT Score:

Academic/Career Interests:

How Interested Are You in Norwich?:
Strong Average Below Average

Have you visited Norwich?

Yes
No

If so, when?

Are you interested in the Corps of Cadets?


Yes
No

If so, which military service appeals to you most?


Army
Navy
Marine Corps
Air Force

Questions/Suggestions

Questions/Suggestions:

Contact Information

Head Coach Mark Zacher
mzacher@norwich.edu
802.485.2229

Women's Basketball
Norwich University
158 Harmon Drive
Northfield, VT 05663 USA

If possible, please send a VHS or DVD of one of your basketball games to Coach Zacher for review and feedback.

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