Prospective Student Athlete Questionnaire

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First Name *

Last Name *

Email address *

Graduation year *

High School *

Position *

Height *

Cell phone #

Home phone #

Home Address *

City *

State *

Zip Code

Parent(s) name

Educational info

NCAA Qualifier? *

Yes No

Desired area of study *

AAU Information

AAU Team

Coach's name

Coach's phone

Coach's email

Please list any upcoming tournaments

Please list any high school/AAU individual honors (All-State, All-American, etc)

Video available?

Yes No

Video link

For transfer students only

Previous college/university

GPA

Transferable credits

Years of eligibility used

___________________________________________

Top 3 Universities/Colleges you are interested in

Any additional comments

* required field