Worcester State Athletics :

If you are interested in playing for our women's basketball team please fill out this questionnaire. If you don't hear from a coach within one week please follow-up with call or e-mail. You can access the coaches contact information by clicking the staff directory in the left column.

Don't forget to confirm the submision when you have completed the form.

*Name:

*Gender:              Intended Major:

*Address:

*City:      *State:       *Zip code:

*Telephone:    Cell:

*Email:    *DOB:

*High School:
*Anticipated Graduation Year:
*High School Coach: Phone:

Are you a Transfer:   If yes, from where:

*Height:   Weight:
*Position/Event:

Dominate Hand:    Dominate Leg:

GPA:      SAT:

Indivdual Awards:

      Team Awards:

Athletic Accomplishments (IE- All State, 10 sec 100 M):

Have you applied?:      If yes, were you accepted?:

Would you like an application?:     Are you applying for Financial Aid?:

Are you interested in planning a campus visit?: If so, when:

What other College/Universities are you applying to?:

Questions, Comments or Additional Information?: