Athletics - Men's Basketball

Brewton-Parker College: A Private Christian College located in Southeast Georgia

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PERSONAL INFORMATION
First Name
Last Name
Street Address
City
State
Zip
Email Address
Home Phone
Height
Weight
Date of Birth		(ex. 1999)
Married		No Yes
Father's Name
Occupation
Mother's Name
Occupation
SCHOLASTIC INFORMATION
High School
School Phone
Graduation Date		(ex. 1999)
GPA
Class Rank
SAT:		Math Verbal
ACT:		Math English Composite
College Course of Interest

(Junior College Students Only)		GPA
		Hours Passed

If you have already attended college or you are currently attending:
	how many credit hours do you have?
	how many years of eligibility do you have left?
ATHLETIC INFORMATION
Name of High School Coach
High School Coach's Home Phone
Name of AAU Coach
AAU Coach's Home Phone
Position you are now playing
Scoring Average (this year and last)
Field Goal Percentage
Other Current Statistics:

Basketball Honors/Camps Attended:

Are game tapes available?		No	Yes

Brewton-Parker College | Located on Hwy. 280 at 201 David-Eliza Fountain Circle, P. O. Box 197, Mount Vernon, GA 30445 | 912-583-2241, 1-800-342-1087
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