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Prospective Athlete Questionnaire
Personal Information
Name:
Graduation Year:
Birth Date:
Address:
City:
State:
ZIP:
Email:
Home Phone:
Cell Phone:
Mother's Name:
Mother's Occupation:
Mother's Email:
Father's Name:
Father's Occupation:
Father's Email:
Academic Profile
High School:
City:
State:
Junior College:
City:
State:
Four Year College:
City:
State:
ACT Score:
SAT Score:
GPA Score:
Academic Interest/
Possible Major:
Class Rank:
Athletic Profile
Height:
Weight:
Position:
Playing Experience
(Years Played):
Junior High:
JV:
Varsity:
Junior College:
4-Year College:
High School Coach:
Phone:
Junior College Coach:
(if applicable)
Phone:
Four Year College Coach:
(if applicable)
Phone:
AAU / BCI /
Summer League / Club Team:
Coach:
Phone: