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MSU-NORTHERN LIGHTS BASKETBALL RECRUITING QUESTIONNAIRE

Enter the information in the fields and press the Submit button
* = Required Information
     
GENERAL INFORMATION
     
*Name:  
Age :  
Birthdate: (MM/DD/YY)  
*Email Address:  
*Phone Number:   ( ) -
*Mailing Address:  
*City:  
*State/Province:
(US/Canada) 
 
*Zip/Postal Code:  
Spouse's Name:  
Father's Name:  
Father's Occupation:  
Father's Employer:  
Mother's Name:  
Mother's Occupation:  
Mother's Employer:  
     
SCHOOL INFORMATION
     
*High School or Junior College:  
Street:  
City:  
State/Province:  
Zip/Postal Code:  
School Phone Number:   ( ) -
*Coach  
*Coach's Phone Number:   ( ) -
Guidance Counselor:  
     
ACADEMIC INFORMATION
     
Year in School:  
*Cumulative GPA:  
Class Rank (X out of Y):  
Anticipated Graduation Date (MM/DD/YY):  
*Taken the ACT/SAT:  
*ACT/SAT Score:  
Date Taken (MM/DD/YY):  
Anticipated College Major:  
Anticipated College Minor:  
     
ATHLETIC INFORMATION
     
*Height:   Feet Inches
Weight:   lbs
Position:  
Scoring Average:  
Rebound Average:  
Assist Average:  
Field Goal %:  
Free Throw %:  
3 Point FG %::  
Athletic Injuries (if any)  
Honors Received:  
Video Available:  
     
   

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