Facebook Twitter YouTube UStream

Men's Basketball

Prospective Student Athlete Information Form

If you are interested in participating in men's basketball at Penn State Altoona, please fill in all the blanks below and click submit.

Name: First
Middle
Last
Name you prefer to be called:
Address Line 1:
Address Line 2:
City:
State:
Zip Code:
Phone Number:
Email Address:
Age:
I am a student in High School
College
Not a Student
My current status is: Senior
Junior
Sophomore
Freshman
None of the Above
High School Name:
Coach's Name:
Coach's Number:
Position: 1
2
3
4
5
Height:
Weight:
Academic Major:
Points per game:
Rebounds per game:
Assists per game:
Club Team Name/Location:
Coach's Name:
Coach's Number:

If you are a transfer student, please provide the name of your previous institution.

I plan on attending Penn State Altoona in the of

Other schools of interest for playing basketball (you are being recruited or are applying)

Security Code: 51369

Thank you for completing this information. We will be in touch with you soon.