November 7, 2009
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UConn Basketball Recruiting Form

This information will be emailed to the Basketball coaching staff. Please fill in all required fields which are marked with an asterick.

Personal Information
* First Name:
Middle Name:
* Last Name:
Nick Name:
Graduation Year:
* Address:
* Town:
* State/Province:
 US or Canada only
* Zip:
Country:
 if outside US/Canada
* Phone:
Phone Country Code:
 if outside US/Canada
Other Phone:
Birthday:
Email:
Father:
Occupation:
Work Phone:
Mother:
Occupation:
Work Phone:
Brothers/Sisters/Family:
Friends/Family that Attended UConn:
Athletic Information
Position:
Height:
Weight:
Jersey:
* Coach:
Address:
Town:
State:
Zip:
Work Phone:
Home Phone:
League:
Points:
Rebounds:
Assists:
Basketball Honors:
Will Sign:
AAU Coach:
Home Phone:
Work Phone:
Academic Information
* High School:
Address:
City:
State:
Zip:
Phone:
Principal:
Guidance Counselor:
Academic Interests:
GPA:
SAT Math:
SAT Verbal:
ACT:

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