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Please Select Men's Basketball First Name

Last Name

Date of Birth Mailing Address State

Zip Code

Home Phone

Cell Phone

Country

E-Mail Address High School Graduation Date: Month

Year

High School Name High School Location (City) High School Location (State) High School GPA High School ACT/SAT Score College Attended College Location (City) College Location (State) College GPA Intended Entry Term Fall Intended Major

Year

Print Form


Athletic Information

Height

Weight

High School Position(s)

Point Average

Rebound Average

Assist Average

Steal Average

Head Coach

Office Phone

Honors and Recognition( High School)

Are Films available? Yes Other Sports participated in


http://www.dickinsonstate.edu/pdf/athletics/BasketballballProspectiveFormSubmit