Vivian W. Henderson Gymnasium
(404) 880-8129
Men's Basketball


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:
 


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223 James P. Brawley Drive, SW--Atlanta, GA 30314--(404)880-8000