Personal Information- Men's Basketball
First:
Last:
Address:
City:
State:		Zip:
Citizenship (if not US):
Date of Birth:		Height:
Home Phone:		Weight:
Cell Phone		When is a good time to call?
email:

Family Information
Parents Names
Occupations
Colleges
E-mail Address

Athletic Information
Athletic Honors
Position:
Years of experience:		Years as starter:
High School Coach:		Phone:
E-mail Address
Strengths		Needs Improvement:
Points/Game		Rebounds/Game:
Assists/Game:		FG%
3FG%		FT%
Team Record FR		Team Record SO
Team Record JR		Team Record SR
AAU Team
AAU Coach:		Phone:
Other Outstanding Athletes in your school or area?
Name		School:

Academic Information
High School:
Address
Guidance Counselor
Counselor Phone/Email:
GPA (Weighted)		Grad Yr.
GPA (Unweighted)
Class Rank:		Class Size:
PSAT Written: PSAT Verbal: PSAT Math: SAT Written: SAT Verbal: SAT Math: ACT English ACT Written ACT Math ACT Science Composite ACT Score
SAT II List Subject Names and Scores
AP Courses Test Scores
Academic Interests
Academic Honors
Community Activities
Have you submitted an application? no yes
Would you like to receive an application? no yes
Are you applying early decision? no yes
Will you be applying for financial Aid? no yes
Have you completed your CSS/Profile? no yes
Are you planning a campus visit? no yes When?
List in order of preference, the Colleges you are interested in attending (including Brandeis)
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