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Introduction Section
Personal Information
First Name:
Middle Name:
Last Name:
Preferred Name:
Country:
United States
Anguilla
Antigua
Aruba
Bahamas
Barbados
Belize
Bermuda
Virgin Islands
Canada
Caymans
Clipperton Island
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Greenland
Grenada
Guadeloupe
Guatemala
Haiti
Honduras
Jamaica
Martinique
Mexico
Montserrat
Antilles
Nicaragua
Panama
Saint Barthélemy
Saint Kitts
Saint Lucia
Saint Martin
Saint Pierre
Saint Vincent
Trinidad and Tobago
Caicos Islands
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Falkland Islands
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kazakhstan
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Turkey
Ukraine
United Kingdom
Vatican City
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Canary Islands
Cape Verde
Central African Republic
Chad
Comoros
Ivory Coast
Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Guinea
Guinea-Bissau
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Congo Republic
Reunion
Rwanda
Saint Helena
Sao Tome
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
Tanzania
Togo
Tunisia
Uganda
Western Sahara
Zambia
Zimbabwe
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei
Cambodia
China
Christmas Island
Cocos Islands
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Macau
Malaysia
Maldives
Mongolia
Burma
Nagorno-Karabakh
Nepal
Oman
Pakistan
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Timor-Leste
Turkmenistan
United Arab Emirates
Akrotiri and Dhekelia
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Caledonia
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Cook Islands
French Polynesia
Niue
Norfolk Island
Pitcairn Islands
Tokelau
Hong Kong
Address Type:
Billing
Business
Campus
Home
Mailing
Physical
Shipping
Street Address:
City:
State:
---Select State---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist. of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Guam
Mariana Islands
Minor Out. Is.
No State
Armed Forces Pacific
Zip:
Grad Year:
---Grad Year---
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
Date of Birth:
Email Address:
Home Phone:
Mobile Number:
Skype:
FaceBook:
Twitter:
@
Instagram:
@
What is your connection to this university:
Parent(s) Information
Parent 1's First Name:
Parent 1's Last Name:
Parent 1's Gender:
Male
Female
Another Legal Sex
Not Available
Parent 1's Occupation:
Parent 1's Email Address:
Parent 1's Cell Phone:
Parent 1's College:
Living With:
Yes
No
Siblings (Names & Age):
Parent 2's First Name:
Parent 2's Last Name:
Parent 2's Gender:
Male
Female
Another Legal Sex
Not Available
Parent 2's Occupation:
Parent 2's Email Address:
Parent 2's Cell Phone:
Parent 2's College:
Living With:
Yes
No
Most Influential People in Your Life: (1)
Most Influential People in Your Life: (2)
Guardian Information
Guardian's First Name:
Guardian's Last Name:
Guardian's Email Address:
Guardian's Cell Phone:
Academic Information
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School Name:
School Address:
School City:
School State:
---Select State---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist. of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Guam
Mariana Islands
Minor Out. Is.
No State
Armed Forces Pacific
School Zip:
School Phone#:
School Fax#:
Counselor's First Name:
Counselor's Last Name:
Counselor's Phone:
Counselor's Fax:
Counselor's Email:
GPA:
SAT Test Date:
SAT Reading:
SAT Math:
SAT Writing:
SAT Composite:
ACT Test Date:
ACT Sum Score:
ACT Composite:
ACT English:
ACT Math:
ACT Reading:
ACT Science:
TOEFL:
Class Rank:
Out Of
Intended Major:
Have you Joined the Eligibility Center?
Yes
No
Eligibility ID:
Club Information
Club Name:
Club Address:
Club City:
Club State:
---Select State---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist. of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Guam
Mariana Islands
Minor Out. Is.
No State
Armed Forces Pacific
Club Zip:
Club Coach:
Club Coach Cell:
Club Coach Office:
Club Coach Home:
Club Coach Email:
Athletic Information
Height
Select
8' 11"
8' 10"
8' 9"
8' 8"
8' 7"
8' 6"
8' 5"
8' 4"
8' 3"
8' 2"
8' 1"
8' 0"
7' 11"
7' 10"
7' 9"
7' 8"
7' 7"
7' 6"
7' 5"
7' 4"
7' 3"
7' 2"
7' 1"
7' 0"
6' 11"
6' 10"
6' 9"
6' 8"
6' 7"
6' 6"
6' 5"
6' 4"
6' 3"
6' 2"
6' 1"
6' 0"
5' 11"
5' 10"
5' 9"
5' 8"
5' 7"
5' 6"
5' 5"
5' 4"
5' 3"
5' 2"
5' 1"
5' 0"
4' 11"
4' 10"
4' 9"
4' 8"
4' 7"
4' 6"
4' 5"
4' 4"
4' 3"
4' 2"
4' 1"
4' 0"
Weight (in lbs.)
Jersey #
HUDL
YouTube
Events
Suwanee TOC
Run 4 the Roses
Deep South
8th Annual Peach State Tip Off
Boo Williams Nike Basketball Tournament
Heartland Spring Classic
Premier Spring Classic
Adidas Nationals
Peachstate Summer Kick off
Battle in Franklin
Premier Summer Invitational
AAU Super Showcase
Blue Chip USA Invitational
Fila Nationals
Run for The Roses Classic - Lexington, Kentucky
Premier Team Network National Championships
Music City Mayhem
Peachstate Best of Summer
Real Deal in the Ville
AAU National Championship
Real Deal in the ATL
Battle in the Boro
Nike National Invitational
Showtime Unlimited National Shootout
Fila 64
Music City Madness
Basketball on the Bayou - New Orleans, Louisiana
Peachstate Invitational
ATL Summer Slam Session I
Elite 32 Session I
Garden City Round Ball
Nike Nationals - North Augusta, South Carolina
JUCO Allstar
ATL Summer Slame Session II
Power 48
Blue Star Nationals
Blue Star USJN
Elite 32 Session II
Adidas Nationals
Fall Final - Atlanta GA
2013 End of the Road
Battle in the Boro Fall 2013
C3P 2013
Southeast JUCO Jamboree
Southern Challenge Jamboree
MTSC / Cannon County HS
Girls Basketball Report Classic
Riverdale Scrimmage Day
Peach State Holiday Tournament
Balln Powher prep
2015 Deep South Classic
Under Armour Nationals
Suwanee TOC
Run for The Roses
Peach State Summer Kick Off
Apache Memorial
Peach State Real Deal 1
Real Deal Shootout
Battle in The Boro
Peach State Real Deal 2
Nashville TOC
Nike Chicago TOC
Suwanee Tournament of Champions
Run for the Roses
Under Armour Girls Nationals
Girls National Championship & Super Showcase
Apache Paschall Memorial Showcase
Peach State Real Deal Session I
OGBR Crystal Ball
Music City Invitational
Nashville Tournament of Champions
Battle in the Boro
Chicago Tournament of Champions
USJN Nike National Championships
Atlanta Summer Slam
Atlanta Tournament of Champions
Peach State Summer Invite
Summer Basketball Playoff
Nike Nationals
Blue Star Nationals
Peach State Summer Jam II
Suwanee TOC
Apache Memorial
Battle in the Boro
Nike Nationals/Nike TOC
Battle in the Bayou 2017
ATL Summer Slam 2017
The National Championship 2017
The Classic
Run for the Roses
Run for the Roses
Apache Memorial
Nike TOC
Nike Nationals
Battle in the Boro
ATL Summer Slam
The National Championships
Deep South Classic
Music City Madness
BOO Williams Nike Invitational
The Classic
Triple Crown NIC
Kentucky State Tournament
TEST
Hoosier Heat
Run for the Roses
Battle in the Boro
Under Armor
Summer Madness
Nike TOC
War Games Atlanta
Nike Nationals
War Games Northeast
Summer Slam
Under Armor Nationals
Southeast JUCO Jamboree
Girls UAA Session 1
Indy Clash
Apache Memorial Showcase
Beast of the East
The Classic
Capital Cool Classic
Run for Roses
Real Deal Indy
War Games
Real Deal Chicago
UAA Nationals
Summer Madness
Nike TOC/NIke Nationals
BOO Williams
Apache Memorial Showcase
The Clash/Select 40
Capital Cool Classic
Live at Lake Point
The Classic
BCAT Live Event
GBCA Live Event
Nike Nationals/Nike TOC
Run for Roses Classic
Run for the Roses Championship
Summer Slam
UAA Nationals
National Championship
Positions
Position
Point Guard
Combo Guard
Wing
Power Forward
Center
Position
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School Name:
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State:
---State---
Alabama
Alaska
American Samoa
Arizona
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Armed Forces Pacific
California
Colorado
Connecticut
Delaware
Dist. of Columbia
Florida
Georgia
Guam
Hawaii
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Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Mariana Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
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New Mexico
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No State
North Carolina
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Ohio
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Puerto Rico
Rhode Island
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Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
City:
Club Name:
Team Name:
Coach Last Name:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist. of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Guam
Mariana Islands
Minor Out. Is.
No State
Armed Forces Pacific
City:
Club Name:
Team Name:
Club State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist. of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Guam
Mariana Islands
Minor Out. Is.
No State
Armed Forces Pacific
Club Coach First Name:
Club Coach Last Name:
Club Coach Email:
Club Coach Mobile:
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