Prospective Student-athlete Questionnaire (Men's Basketball)

Thanks for your interest in Columbia Men's Basketball. Please take a moment to complete our questionnaire so we can get to know more about you.

Required Fields are in Bold

Personal Information
First name:
Middle Initial:
Last Name:
Preferred Name:
Home Address:
Home Address (cont.):
ZIP/Postal Code
Home Phone:
Mobile/Cell Phone:
E-mail Address:
Date of Birth (MM/DD/YYYY):
Are you a U.S. Citizen?
Ethnicity (optional):
Family Information
Father's Name:
Father's Alma Mater (College):
Father's Occupation
Father's Employer
Father's Work Phone:
Mother's Name:
Mother's Alma Mater (College):
Mother's Occupation:
Mother's Employer:
Mother's Work Phone:
With whom do you reside?
Please list names and ages of your brothers and/or sisters (if any):
Academic Information
High School:
Current Grade Level:
Year of High School Graduation:
School Main Telephone Number:
School Address:
School Address (cont.)
ZIP/Postal Code:
Guidance Counselor Name:
Grade Point Average (GPA):
Class Rank:
Number of Students in Class:
PSAT Score (Verbal/Math):
SAT Score (Verbal/Math/Writing):
ACT Score:
SAT Subject Test (Subject/Score):
SAT Subject Test (Subject/Score):
SAT Subject Test (Subject/Score):
Intended college major (if known):
Other academic interests:
Athletics Information
Primary Sport Interest
HS Coach's Name:
HS Coach's Phone Number:
AAU Team (name and location):
AAU Coach's Name:
AAU Coach's Phone:
Most Recent Season Statistics (Pts. PG / Reb. PG / Ast. PG / Mins. PG):
Enter any relevant awards, rankings and/or personal best records:
Please list any basketball camps that you have attended (include dates):
Other Sports and Athletics Experience:
Other Information
Which undergraduate school(s) at Columbia University are you considering? (check all that apply)
Columbia College
Fu Foundation School of Engineering and Applied Science
School of General Studies
Which other colleges and universities are you considering?
Do you plan to apply for financial aid?
Don't Know
Are you interested in applying early decision?
Don't Know
Do you have any friends or relatives who have attended Columbia University? (please list name and relationship to you):
Describe any significant academic or employment-related accomplishments (including awards, National Honor Society, clubs, publications, community service, etc.):
Please use the space below for comments and questions: