Men's Basketball Questionnaire

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ZIP Code

Email address *

Cell Phone Number

Address 2

City

Address 1

Last name

State

First name

Country

Home Phone

Primary Sport

Height

Weight

Name of High School

Year of Graduation

Coach's Name

Coach's Phone

SAT Score

ACT Score

GPA

Intended Field of Study or Interest

Have you registered with the NCAA Eligibility Center?

Yes No

If yes, what is your Eligibility Center Number?

* required field