Prospect Form

May 16, 2006 03:02 PM | General

Attention Prospective Students: Please complete the following form with as much detail as possible. Double-check your contact information - this is the only way we can get in touch with you!

PERSONAL INFORMATION

Name:

Graduation Date:

Address:

City:

State:

Zip:

Home Telephone:

Your email:

Date of Birth:

Social Security Number:

Father's Name:

Father's Occupation:

Father's work #:

Mother's Name:

Mother's Occupation:

Mother's work #:

High School:

High School Coach:

Phone #:

AAU Team:

AAU Coach:

Phone #:

Height:

Weight:

Position:

Jersey #:

PPG AVG:

RPG AVG:

APG AVG:

SPG AVG:

FG%:

3FG%:

FT%:

Is there videotape available?:

Have you ever suffered a serious injury?:

If yes explain:

ACADEMIC INFORMATION

Grade Point Average:

SAT Score:

ACT Score:

Possible Major:

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