Basketball Recruiting Form 



Personal Information:

Name: Nickname:  
Address: Birthplace:
City, State, Zip: Birth Date:
Home Phone: Cell Phone:
Email:    



Academic Information: 

School Name:

Address: School Phone:  
City, State, Zip: Athletics Phone:
Graduation Date: School Fax:
Major: Principal:
GPA: Counselor:

SAT Scores:

Reading:
     Math:      Writing:

ACT Score:      PSAT Scores:      Planned course of study:


Basketball Information:

Jersey # PPG:  
Position: RPG:
Height: APG:
Weight: SPG:

Basketball Coach Information:

H.S. Basketball Coach:
     Office Phone:     

Cell Phone:


AAU Team:      AAU Coach:   

Phone:



Family Information:

Father's Name: Mother's Name:  
Alma Mater: Alma Mater:
Occupation: Occupation:
Work Phone: Work Phone:

Parents are: Married     Divorced     Separated

I live with: Both     Dad     Mom     Other - Name:


Brothers and Sisters:

College(s) any siblings attended/are attending:

Do you have any family and/or friends living in Maine? Yes     No

If yes, who and where?


Have you ever visited Maine before? Yes     No

If yes, when and where?




General Information:

Other sports played in High School:


Hobbies: