Prospective Athlete

Note: Required fields below marked with * must be completed in order to submit this form.

General Information

First Name: *
MI:
Last: *
Email Address: *
Home Phone: *
Cell Phone:
Age: *
High School:
City:
State:
High School Coach's Name:
Junior College:
City:
State:
Jr. College Coach's Name:

Academic Information

High School Graduation Date:   Class Rank: G.P.A.:
Jr. College Graduation Date: Hours Completed: G.P.A.:
SAT Scores: Reading: Math: Written:
ACT Comp Score:
Intended College Major:
Academic Accomplishments:
Certified by NCAA Clearinghouse? No Yes   Index Number:
Guidance Counselor's Name:   Phone:

Basketball Information

Height / Weight: /
PPG:
Rebounds:
Assists:
Team record last year:
Summer program:
  Coach:
  Coach Phone Number:
  PPG:
  Rebounds:
  Assists:
Have you ever visited the NSU campus? Yes No
 

Do you have friends, relatives or know alumni of NSU? Yes No

If so whom:

 
Name four of the better players in your area:
1.
2.
3.
4.