Women's Basketball Interest Form

There are errors with your form submission. Please review and submit again.

Interested in Intercollegiate Athletics at Wake Tech?

Please complete the sections below that pertain to you.

Contact Information:

ZIP Code *

Email address *

Cell Phone Number *

City *

Address 2

Address 1 *

Last name *

State *

First name *

Date of Birth (MM/DD/YY) *

Are you an international or F-1 student? *

Yes No

Academic Information:

High School Name: *

High School Graduation Date: *

Standard High School Diploma or GED: *

Diploma GED

Current High School GPA:

Wake Tech ID number (if applicable):

Anticipated College Major:

Student Type: *

First Time in College Transfer Other

If you checked "Transfer" or "Other" please list other college(s) attended or provide more information.

Athletic Information:

Height:

Weight:

High School Coach Name:

Position(s) Played:

HS Coach Phone Number:

HS Coach Email:

Number of Years on High School Team:

Club/AAU Team Name:

Club/AAU Coach Name:

Club/AAU Coach Contact Information:

Number of Years on Club/AAU Team:

Web link (URL) to highlights or recruit videos:

Game Stats:

Points Per Game:

Rebounds Per Game:

Assists Per Game:

Steals Per Game:

Blocks Per Game:

Field Goal Percentage:

3-pt Field Goal Percentage:

List any other information you would like to share with Wake Tech Coaching Staff:

* required field