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Jennies Basketball Prospective Recruit Information

NCAA Guide for the College-Bound Student-Athlete

(Please fill out the questionnaire as completely as possible)

Note: Use your mouse or the tab key to go from one blank to the next as hitting the enter key may submit the form prematurely.

High School Graduation Date
Name
Phone
Address
City
State
Zip
Country (if outside U.S.A.)
Birthdate
Your e-mail address
High School
Coaches Name
Coaches Telephone #
GPA
ACT/SAT score
Class rank (example: 23 of 129)
Schools attended after high school
Have you applied to the NCAA Eligibility Center (Formerly the Clearinghouse)?	yes no
Sports participated in while in high school
Have you received an application and/or information about UCM?	yes no
Have you visited the UCM campus?	yes no
Anticipated academic major at UCM
Athletic Information
Height
Weight
Scoring average
Rebound average
Assist average
Field Goal percentage
3-Point Field Goal %
Free-Throw percentage
Position	Pick One Point Guard Shooting Guard Small Forward Power Forward Center
List your top three college choices

Any Questions...Contact Jennies Basketball (660) 543-4269  -or-  lindsey@ucmo.edu

Note: Hitting "reset" clears the entire questionnaire. Hitting "submit" sends the questionnaire to us and sends you to a "Form Confirmation" page, which means that your questionnaire was successfully sent to us and that you DO NOT need to submit another one unless there was an error in the information you provided. Thank you!