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Men's Basketball Prospective Student-Athletes

Required fields in bold.

First Name

Last Name

Street Address

City, State

ZIP

Home Country

Home Phone

Cell Phone

Email

Date of Birth

Mother's First Name

Mother's Last Name

Mother's Email

Mother's Work Phone

Mother's Cell Phone

Mother's Alma Mater

Mother's Occupation

Father's First Name

Father's Last Name

Father's Email

Father's Work Phone

Father's Cell Phone

Father's Alma Mater

Father's Occupation

Siblings

Other Schools Interested In

Are You Registered With The NCAA Eligibility Center?
Yes
No

If Yes, What Is Your Eligibility Center ID Number?

Twitter

Facebook

Academic Information

High School Name

Graduation Year

High School City

High School State

High School Zip

Class Rank

GPA

ACT

SAT Total

Intended Major

Athletic Information

High School Coach First Name

High School Coach Last Name

High School Coach Email

High School Coach Cell Phone

High School Coach Work Phone

Position

Height

Weight

Jersey Number

Athletic Honors

Other Sports Played

Club Team Name

Club Coach First Name

Club Coach Last Name

Club Coach Email

Club Coach Cell Phone

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