PERSONAL INFORMATION

 
   
First Name:
Last Name:
Age:
Date of Birth:
SSN:
NCAA Eligibility Center ID:
Address:
City:
State/Province:
Zip Code:
Country:
Phone Number:
Email:
Father's Name:
     Occupation:
Mother's Name:
     Occupation:
   

ACADEMIC INFORMATION

 
   
Current School:
School Address:
     City:
     State/Province:
Grade Point Average (4.0 Scale):
Graduation Date:
Have you registered with the NCAA Clearinghouse? YES   NO
Have you taken the SAT? YES   NO
     Date:
     SAT Verbal:
     SAT Math:
Have you taken the ACT? YES   NO
     Date:
     ACT Score:
Intended Major:
   

ATHLETIC INFORMATION

 
   
Height (Feet-Inches):
Weight (lbs.):
Position:
PPG:
RB Average:
Assist Average:
FT %:
FG %:
High Game/Points:
Game Films/Tapes available? YES   NO
     If yes, contact?
High School Coach's Name:
     Phone Number:
     Email:
AAU Team Name:
     Coach's Name:
     Phone Number:
     Email:
Team Honors/Acheivements:
Additional Statistics:
Individual Honors/Achievements:

 

 

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