Introduction Section
Welcome to the Northern Illinois University Men's Basketball Recruiting Questionnaire. Please fill out all fields for consideration.
Personal Information
First Name:
Last Name:
Address Type:
Street Address:
City:
State:
Zip:
Grad Year:
Date of Birth:
Email Address:
Home Phone:
Mobile Number:
FaceBook:
Twitter:
@
Instagram:
@
Parent(s) Information
Parent 1's First Name:
Parent 1's Last Name:
Parent 1's Gender:
Parent 1's Email Address:
Parent 1's Cell Phone:
Parent 2's First Name:
Parent 2's Last Name:
Parent 2's Gender:
Parent 2's Email Address:
Parent 2's Cell Phone:
Most Influential People in Your Life: (1)
Most Influential People in Your Life: (2)
Academic Information
{{item.text}} No schools matching "{{sd.searchText}}" were found.
School Name:
School City:
School State:
Other Questions
What are your three main factors when choosing a school?:
When you have completed this questionnaire please click submit questionnaire.
School Name:
OR :
State:
City:


Club Name:
Team Name:
Coach Last Name:
State:
City:


Club Name:
Team Name:
Club State:
Club Coach First Name:
Club Coach Last Name:
Club Coach Email:
Club Coach Mobile:

Do you still want to add the prospect?