First Name
Last Name
Mailing Address
City
State
Zip/Postal Code
Country
Day Phone
Evening Phone
E-mail Address
Father's Name
Father's Occupation
Mother's Name
Mother's Occupation
High School Attended
HS Mailing Address
State
Zip/Postal Code
HS Coach
Coach's #
Graduation Year
GPA
Class Rank
SAT Score
ACT Score
Taking College Prep Courses
Probable College Major
Height
Weight
Position
Points Per Game
Rebounds
Assists Average
Steals Average

Please List Awards and Honors Received

Please List Top Three College Choices

Please List Other Sports You Have Lettered In

Where did you hear about CNCC?
Someone I Know (005) Internet (055) High School Counselor (010) CNCC Faculty or Staff Member (003) My Local Radio Station My Local Paper More Than One Place (Please explain in comment box below.) Other (Please explain in comment box below.)

If you marked *Other* please explain.