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All fields marked with
*
are required.
Individual Information
Name:
*
Address:
*
City:
*
State:
*
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Outside US
Zip:
*
Email:
Cell Number:
Phone Number:
*
Graduation Year:
*
Birthdate:
Ht:
Wt:
Academics
ACT/SAT:
or Date to be taken:
GPA:
*
on a
scale
Intended Major:
College hours completed by years end:
Other colleges considering:
Basketball
High School/Junior College:
School Phone:
HS/JUCO Address:
City:
State:
AK
AL
AR
AZ
CA
CO
CT
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Choose
Outside US
Zip:
Coach:
Phone or School Ext.
Coach Email:
Class/Division
(A, AA, DI, DII, etc.)
AAU Team:
AAU Coach:
AAU Coach Phone:
AAU Coach Email:
Position:
Record Last Season:
Jersey #:
AAU Jersey #:
Stats from Last Season:
PPG:
RPG:
APG:
Other:
Honors/Awards:
Family & Personal
Parent(s) or Guardian(s):
Phone Number:
Father's Employment:
Mother's Employment:
Siblings names/ages:
Other sports:
Hobbies:
Do you have a tape available to send?
Yes
No
Have you applied to CMU yet?
Yes
No
Questions? Contact Andi Brooks, Head Coach, Women's Basketball - 660-248-6995,
abrooks@centralmethodist.edu
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