Men's Basketball

*First Name
Middle Name
*Last Name

Date of Birth
Father's Name
Father's Occupation
Mother's Name
Mother's Occupation
Brother and Sister's Names
Player Status Entering University	High School Graduate - Incoming Freshmen
	Transfer with 2 yr degree
	Transfer
	Other
Applied:	-Select- Yes No
*Graduation Year:	-Graduation Year- 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
*Email Address
*Street Address, City
*State:	-Select State- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware 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 Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
*Zip
*Phone:
*Cell Phone:

Height in feet	-Select feet- 3 4 5 6 7
and inches	-Select inches- 0 1 2 3 4 5 6 7 8 9 10 11
Weight in pounds	-Select weight- 100 105 110 115 120 125 130 135 140 145 150 155 160 165 170 175 180 185 190 195 200 205 210 215 220 225 230 235 240 245 250 255 260 265 270 275 280 285 290 295 300
Position	-Select position- Point Guard Shooting Guard Small Forward Power Forward Center
Career Points/game
Career Rebounds/game
Career Assists/game
Career Free throw Percentage
Colleges Recruiting you

High School Name
High School Address
High School GPA
High School Class Rank
High School Honors
High School Coach's Name
High School Coach's Phone Number
High School Counselor's Name
High School Counselor's Phone Number

Junior College Name
Junior College Address
Junior College GPA
Years Attended
Junior College Major
Junior College Credits
Did you earn your degree?	-Select- Yes No

College Name
College Address
College GPA
Years Attended
College Major
College Credits
Did you earn your degree?	-Select- Yes No

Academic Interest
NCAA Eligibity #
NCAA Clearing House PIN number
ACT Score
SAT Score
Are all transcripts attached or on file at UCCS Ofice of Academic Record?	-Select- Yes No
Are copies of your SAT/ACT test scores on file at UCCS' Office of Academic Record?	-Select- Yes No

* denotes required field