Men's Basketball Prospect Form

Items marked with an asterisk (*) are required fields.

Personal Information:
Name*: Home Address:
City: State: ZIP:
Home Phone*: Name of Parents:
Parents Occupation:
Height: Weight: Position:
Email Address*: Graduation Date:
   

Academic Information:
Name of high school: School Phone:
Coach's Name: Home Phone:
GPA: ACT/SAT score: Class Rank:
Predicted Major Field of Study:
   

Basketball Statistics:
Points Per Game: Rebounds Per Game: Assists Per Game:
Free throw %: Field goal %: Three point %: