Fields marked with * are mandatory
General

First Name *
*Please enter valid First Name
Preferred First Name
*Please enter valid Preferred First Name
Middle Initial
*Please enter valid Middle Initial
Last Name *
*Please enter valid Last Name
Home Phone Number
*Please enter valid Home Phone Number
Cell Phone Number *
*Please enter valid Cell Phone Number
Email Address *
*Please enter valid Email Address
Home Address1 *
*Please enter valid Home Address1
Home Address2
*Please enter valid Home Address2
City *
*Please enter valid City
State *
*Please enter valid State
Zip *
*Please enter valid Zip
Date of Birth *
*Please enter valid Date of Birth
Religion
*Please enter valid Religion
Academic

High School Information
School Name
Address1
Address2
Address3
City
State
Zip
Country
CEEB Code
the school is not listed above
*Please enter valid High School Information
High School Graduation Year *
*Please enter valid High School Graduation Year
GPA *
*Please enter valid GPA
ACT (write n/a if none) *
*Please enter valid ACT (write n/a if none)
SAT Total (write n/a if none) *
*Please enter valid SAT Total (write n/a if none)
Class Rank *
*Please enter valid Class Rank
Have you previously attended college? *

*Please enter valid Have you previously attended college?
If so - please indicate college and years
*Please enter valid If so - please indicate college and years
Year Planning to Enter College
*Please enter valid Year Planning to Enter College
Student Type

*Please enter valid Student Type
Academic Interest
*Please enter valid Academic Interest
Athletic

Position (mark all that apply) *






*Please enter valid Position (mark all that apply)
Height *
FeetInch
*Please enter valid Height
Weight *
*Please enter valid Weight
Video/Youtube Link
*Please enter valid Video/Youtube Link
AAU/Club Team Name *
*Please enter valid AAU/Club Team Name
AAU/Club Team Coach’s Name *
*Please enter valid AAU/Club Team Coach’s Name
AAU/Club Team Coach’s Phone *
*Please enter valid AAU/Club Team Coach’s Phone
AAU/Club Team Coach’s Email *
*Please enter valid AAU/Club Team Coach’s Email
# of Varsity Letters
*Please enter valid # of Varsity Letters
# of Years as Starter
*Please enter valid # of Years as Starter
Scoring Average
*Please enter valid Scoring Average
Rebound Average
*Please enter valid Rebound Average
Assist Average
*Please enter valid Assist Average
Other Varsity Stats
*Please enter valid Other Varsity Stats
Honors
*Please enter valid Honors
H.S. Coach's Name *
*Please enter valid H.S. Coach's Name
H.S. Coach's Phone
*Please enter valid H.S. Coach's Phone
Junior College
*Please enter valid Junior College
JUCO City/State/Zip
*Please enter valid JUCO City/State/Zip
JUCO Coach's Name
*Please enter valid JUCO Coach's Name
JUCO Coach's Phone
*Please enter valid JUCO Coach's Phone
Associate Degree

*Please enter valid Associate Degree
Expected Date
*Please enter valid Expected Date
JUCO GPA
*Please enter valid JUCO GPA
Other Sports Played and # of Years
*Please enter valid Other Sports Played and # of Years
Other Sports Anticipate Playing at College Level
*Please enter valid Other Sports Anticipate Playing at College Level
Comments
*Please enter valid Comments