| First Name |
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| Last Name |
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| Prefer to be called |
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| High School Graduation Year |
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| Home Street Address |
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| City |
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| State |
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| Zip |
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| Email |
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| Parent or Guardian |
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| Home Phone |
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| Cell Phone |
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| AIM |
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| High School |
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| School Address |
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| Coach's Name |
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| Counselor's Name |
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| Church Affiliation |
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| F.A.F.S.A. Filed? |
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| If yes, did you request results sent to B-W? |
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| Father's Occupation |
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| Mother's Occupation |
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| Age |
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| Birth Date |
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Basketball |
Information |
Position |
Height Weight |
Dominant Hand |
Jersey # |
Junior Year Averages:
Points Rebounds
Assists Team Record
|
Sophmore Year Averages:
Points Rebounds
Assists Team Record
|
Senior Year Averages:
Points Rebounds
Assists Team Record
|
| If you possess any high school records or honors, please indicate |
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| Other Sports |
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| Other College or University |
Preferences |
| 1. |
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| 2. |
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| 3. |
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| SCHOLASTIC INFORMATION |
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| What do you want to study in college? |
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| What is your vocational interest? |
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| When did/will you take the SAT? |
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| ACT? |
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| Did you request results sent to B-W? |
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| SAT Scores |
V M |
| ACT Comp |
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| Units of Math |
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| Units of foreign language |
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| Rank in class |
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| Grade Point Average |
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| Academic achievements/honors/awards |
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| List any student friends at B-W |
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| List any B-W Alumni whom you know |
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