Potential Recruits Form
If you would like to get
more information about playing basketball at Clark Atlanta University please fill
out the form below:
|
* Required Fields
|
Personal
Information
|
|
| First Name: |
*
|
|
Last Name: |
*
|
| Date of Birth: |
*
|
| Address: |
*
|
| City: |
*
|
| State: |
|
| Zip: |
*
|
| E-mail: |
|
| Phone Number: |
*
|
| Father and Mother's Names: |
|
|
High School/Junior College Information
|
|
| High School/Junior College Name |
*
|
| High School/Junior College Address |
*
|
| City: |
*
|
| State: |
|
| Zip: |
*
|
| GPA: |
|
| SAT/ACT Scores: |
|
| Date of Test: |
|
| Date of Graduation: |
|
|
Basketball Information
|
|
| Coach's Name: |
*
|
| Coach's Phone Number: |
*
|
| Position: |
*
|
| Height: |
*
|
| Weight: |
*
|
| Points/Game: |
*
|
| Rebounds/Game |
*
|
| Assists/Game: |
*
|
Honors:
|
Comments:
|
| |
|
|
Copyright
- Clark Atlanta University
223 James P. Brawley Drive, SW--Atlanta, GA 30314--(404)880-8000 |