Full Name (required) – Please enter your first and last name

Mailing Address (required) – Enter the address where you receive your mail

City (required)

State (required)

Zip code (required)

Phone

Cell phone

Email address (required) – Enter a valid email address so the Coach can contact you

Age now (required)

High school name (required) – Enter the name of the high school you are attending

Have you passed the graduation exam? (required)
 Yes
 No

Year of graduation (required) – Select the year you will graduate from high school
2010 2011 2012 2013 2014 2015

Guidance counselor’s name – Please enter your high school guidance counselor’s name

Guidance counselor’s phone – Please enter a phone number where your high school guidance counselor can be reached

SAT math score

SAT verbal score

SAT total score

ACT score

Coach’s name (required) – Please enter the name of your basketball coach

Coach’s phone – Please enter a phone number where your coach may be reached

Height (required) – Please enter your height

Weight (required) – Please enter your current weight

Points average (required)

Rebounds average (required)

FG% (required)

FT% (required)

Position (required)

Have you attended college at any other school? (Required)
 Yes
 No

If so, please list the colleges and dates of attendance:

Have you participated or are you currently participating on any other two-year college team? (Required)
 Yes
 No

If so, please list the colleges and dates of attendance:

Have you applied for admission? (Required)
 Yes
 No

Have you visited the campus? (Required)
 Yes
 No

Message to the Coach