Basketball Recruiting Form

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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?

How did you hear about Saint Joseph's College?

General Information:

Other sports played in High School:

Hobbies: