Recruiting Form

Please fill out the form below and click the submit button to send your information to Head Coach Dave Wilson.

Personal Information

First Name:
Last Name:
Street:
City:
Province/State:
Postal/ZIP Code:
Country: (if outside Canada)
Home Phone:
Cell Phone:
E-Mail Address:
Mom's Name:
Dad's Name:

Academic Information

School:
Current Average:
Graduation Year:
Expected Start Date at Queen's (mm/yy):
Program Applied to:
Other Schools under consideration:

Interest in Queen's University:

High

Moderate

Low

Athletic Information

High School Coach:
Club Team (if applicable):
Club Level (eg. juvenile/junior?):
Club Coach (if applicable):
Have you played on a regional/provincial team?	Yes   No
Which Team?
Height:
Weight:
Position:  Point Guard   Shooting Guard                    Wing/Small Forward   Post

Additional Experiences, Comments or Questions?