Personal Information

Name*

First Last

Date of Birth*

Year of graduation

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone

Cell Phone

Email*

Father's Name

First Last

Father's College

Father's Occupation

Mother's Name

First Last

Mother's College

Mother's Occupation

Basketball Information

High School*

Conference

HS Coach's Name

HS Coach's Phone

AAU Coach's Name

AAU Coach's Phone

AAU Teacm/Club

AAU Team City

Current Position

Preferred Position

Height

Scoring Average

Rebounding Average

Assist Average

Honors / Awards

Other sports interested in playing in college

What do you enjoy/love about playing basketball?

Academic Information

How many students in your class?

Class Rank

GPA

ACT

SAT (Verbal)

SAT (Math)

SAT (Written)

Academic Interests / Intended Major

Other colleges you're interested in

Interested in learning more about UMPI (5 being the hightest)*

What are the 3 most important factors to you in deciding where to attend college?

example: cost, distance from home, education, athletics, where friends go, etc.)

Important Factors: 1*

Important Factors: 2*

Important Factors: 3