For Prospective Western Connecticut Women's Basketball Student-Athletes

Tell us about yourself. This information will be forwarded to Head Coach Kimberley Rybczyk and give her notice that you are interested in playing at Western Connecticut State University.

General Information  
First Name:
Last Name:
Street Address:
City:
State:
Zip Code:
Mobile Number:
Email Address:
Current High School:
Year of Graduation:
Date of Birth (XX/XX/XXXX):
PSAT Math:
PSAT Verbal:
SAT Math:
SAT Verbal:
ACT:
GPA:
Class Rank (XX of XXX):
AP Classes Taken:
Anticipated College Major:
Interested in other College Varsity Sports:
Injuries:
   
Family Information  
Father’s Name:
Father’s Occupation:
Father’s Employer:
Father’s Alma Mater:
Mother’s Name:
Mother’s Occupation:
Mother’s Employer:
Mother’s Alma Mater:
Siblings Name(s):
Siblings Age(s):
Siblings College (if attended):
Live With:
   
High School Information:  
HS Jersey Number
Coach Name:
Coach Phone Number:
Coach Email:
Years Played:
Height:
Recruiting Web Site or Video Link:
   
Athletic Specific Information  
Primary Position:
Secondary Position:
Dominant Hand (left/right): Left    Right
Points Per Game:
Rebounds Per Game:
Assists Per Game:
Steals Per Game:
Athletic Honors/Awards:
   
AAU Information:  
Team Name:
Coach Name:
Coach Phone Number:
Coach Email:
Years Played:
   
Other Information:  
Fall Basketball League:
Top Three Priorities in Your College Search:
   
   
One Interesting Thing About You:
Do you know anyone currently at WCSU?
Do you know any alumni from WCSU?