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Personal Information
Prospect Code:
First Name: *
Last Name: *
Middle Name:
Preferred Name:
Email: *
Address: *
City: *
State:
AL
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IA
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Zip:
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Phone: *
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Gender:
M
F
Place of Birth:
Date of Birth: *
Hobbies:
Parent/Guardian Contact Information
First Name: *
Last Name: *
Relationship: *
Father
Mother
Alternate
Step Mother
Neighbor
Uncle
Sister
Grandfather
Guardian
Aunt
Friend
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Brother
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Phone: *
Mobile Phone:
Email:
College Name:
Occupation:
Employer:
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Ext:
Athletic Information
Height: *
ft.
in.
Weight: *
Jersey #:
Athletic Honors:
Position 1:
Position 2:
Points Per Game:
Rebounds Per Game:
Field Goal Percentage:
Assists Per Game:
Shots Per Game:
Steals Per Game:
Vertical Jump:
Academic Information
SAT:
SAT Math:
SAT Verbal:
ACT:
GPA: *
Class: *
High School
2-Year College
4-Year College
Post-High School, Non-College
Class Rank:
Grad Year: *
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
Registered with Clearinghouse: *
Yes
No
Intended Major:
1st College Preference:
2nd College Preference:
3rd College Preference:
School Information
School Name: *
Clear
School Address 1: *
School Address 2:
School City: *
School State:
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AR
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AZ
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AB
AE
BC
DC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
UN
YT
PR
VI
School Zip:
School Country:
Phone:
Fax:
Mascot:
Colors:
Website:
P First Name:
P Last Name:
P Email:
P Phone:
P Fax:
R First Name:
R Last Name:
R Email:
R Phone:
R Fax:
Guidance Counselor's First Name:
Guidance Counselor's Last Name:
Guidance Counselor's Email:
Guidance Counselor's Phone:
Guidance Counselor's Fax:
School Coach Information
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First Name: *
Last Name: *
Email:
Title: *
Work Phone:
Mobile Phone:
Team Information
Team Name: *
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District:
Team Address 1: *
Team Address 2:
Team City: *
Team State: *
AL
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AS
AZ
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AB
AE
BC
DC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
UN
YT
PR
VI
Team Zip: *
Team Country:
Phone: *
Fax:
Mascot:
Colors:
Website:
Team Coach Information
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First Name: *
Last Name: *
Email: *
Title:
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Mobile Phone: