Personal Information  

Name  
Home Phone

E-mail Address

Mailing Address

City  State  Zip

Parents' Names

Parents' Occupation

Academic Information 

Cumulative GPA   ACT/SAT 
Class Rank  

Year of Graduation

Area of Academic Interest

Current Basketball Information
Name of High School or Junior College  
Coach's Name
Coach's Phone
Mailing Address

City  State  Zip

Height  Weight  Position

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Are Game Films Available

Other Sports in which you participate

Athletic Achievements