Penn State Altoona

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Men's Basketball
Prospective Athlete Information Form

Transfer Students
If you are considering transferring to Penn State Altoona please refer to the following directions.
According to NCAA by-law 13.1.1.2 written permission from the previous institution before any member of our athletics department or interested parties may discuss transferring with you. If you are currently at a NCAA Division I, II, NAIA or any other four year degree granting institution you must have a written permission to contact (letter or form) sent to the Penn State Altoona Intercollegiate Athletics Compliance Office in 101B Adler Athletic Complex, 3000 Ivyside Park, Altoona PA 16601-3760 or faxed to 814.949.5412 or emailed to rzb3@psu.edu. If you are considering transferring from a NCAA Division III institution you may use the Division III self release form found at http://www.ncaa.org/databases/compliance_forms/2005-06/05_self-release.pdf (THIS IS ONLY ACCEPTABLE FOR Division III TO Division III CONTACT) or you may have the written release sent from your athletics department. If you have question about this procedure you may contact Brent Baird, Compliance Officer at rzb3@psu.edu or at 814.949.5556

Transfer Information

Institution:
Athletics Participation:	Yes No

Personal Information
First Name:
Last Name:
Phone Number:
E-mail:
Father's Name:
Mother's Name:
Home Address:
City:
State:
Zip Code:

Education
High School:
State:
Graduation Year:
School Website:
GPA:
SAT-Math:
SAT-Verbal:
SAT-Total:
ACT:
Academic Interest:
Counselor's Name:
Phone Number:

Athletic Information
Position	Height	Weight
(Per Game) Points	Rebounds	Assists

Coach Name
Work phone/cell phone
Notable Achievements
Local On-line Newspaper

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