Men's Basketball Recruiting Form

Email Secondary Email

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Email address *

First & Last Name: *

Address: *

City/State/Zip: *

Phone Number: *

Birthday: *

High School: *

Year of High School Graduation: *

High School GPA: *

ACT Score: *

Position: *

High School Coach Name and Number: *

Club Team: *

Height: *

Points per Game: *

Rebounds per Game: *

Assist per Game: *

Please let us know about your athletic goals: *

Please let us know about your academic goals/ideal career: *

When would you prefer to start at CCC? *

* required field