Personal Information
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Name: |
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Email: |
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Address: |
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City: |
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State: |
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Zip Code: |
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Home Phone: |
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Cell Phone: |
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Height: |
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Weight: |
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Father's Name: |
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Father's Occupation: |
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Mother's Name: |
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Mother's Occupation: |
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Do you have game tape available? Yes No |
Academic Information
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High School: |
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Phone Number: |
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Year of Graduation |
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Current GPA: |
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ACT Score: |
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SAT Score: Verbal |
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SAT Score: Total |
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Counselor Name:: |
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Desired College Major: |
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High School Athletic Information
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Coach's Name: |
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Coach's School Phone: |
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Coach's Home Phone: |
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Coach's Cell: |
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Coach's Email: |
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Primary Position: |
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Secondary Position: |
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Uniform #: |
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Club/Summer Team Information
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Team Name: |
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Coach's Name: |
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Coach's Home Phone: |
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Coach's Cell: |
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Coach's Email: |
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Primary Position: |
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Secondary Position: |
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Uniform #: |
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Miscellaneous Information
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Reason for interest in the Mt. Hood Community College Women's Basketball Program :
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Academic and athletic goals:
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Other hobbies, sports or activities:
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List the top three college of your choice: (In order of preference)
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Sports Specific - Basketball
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Pts/Game |
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Rebs/Game |
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Asst/Game |
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Stls/Game |
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Blks/Game |
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Name three of the best players you have played against (name/height/school):
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