Athletics - Basketball

Prospective Players

Name * Title First Last Suffix
Social Security Number - no dashes -

Please supply us with your Social Security number.
Home Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

If you may be moving or are just temporarily at your mailing address please also provide us with a permanent mailing address. A good example of a permanent mailing address would be your parents house.
Home Phone - (###) - ### ####
Cell Phone - (###) - ### ####
Birth date *
Email

If you have an email address please let us know.
Father/Guardian First Last
Occupation
Mother/Guardian First Last
Occupation
Academic Information
High School Attended:
Name of High School, City, State
Your High School or GED Graduation Date / MM / DD YYYY
MM= Month, DD=Day, YYYY = Year
Academic Interest
G.P.A.
ACT (Composite)
SAT (verbal)
SAT (math)
Did you attend or participate in the Missouri A+ Schools Program? Yes No
The "A School" program was established in 1993 by state law. http://dese.mo.gov/divimprove/aplus/proginfo/abtaplus.html
Are you a PELL Grant Qualifier? Yes No
Athletic Information
Height
Best Position
Years on Varsity
Vertical Jump
HS Coach
Phone (H) - (###) - ### ####
Phone (O) - (###) - ### ####
Summer Coach
Phone (H) - (###) - ### ####
Phone (O) - (###) - ### ####
Athletic Honors/Awards/Performances
Statistics