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Request for Men's Basketball Information

Complete this form and submit it to receive more information.
   
Last Name:
First Name: 
Mailing Address:
City:
State:
Zip/Postal Code:
Country:
Phone:
 (Including Area Code) 
E-mail:
Birth Date:
Father's name:
Occupation:
Mother's name:
Occupation:

 

Academic Information
Current Academic Status:
HS freshman HS sophomore HS junior   
HS senior  HS grad College transfer  
College Attended:
High School Attended:
High School Coach:
High School Phone:

 

Basketball Info

Positions Played:
Dominate Hand:
Height:
Weight:
Have you registered with the NCAA Clearing House?:
 Yes
No
Clearing House Pin#:
Other Sports Played:
 

Statistics
PPG:
FG%:
REBS:
FT%:
Asst:
Steals:
Team Records:
# of Years Lettered:
Film Available:
 Yes No
   

Visiting UMC

Would you like to visit UMC?:
 Yes No
Proposed Visit Date:
[ChooseOne] Pick a date
Best Day/Time to be reached:
Interest in applying for Financial Aid?:
 Yes No
 
Any additional comments or questions?
 

Note: When submitted, your request will be forwarded to the UMC Head Men's Basketball Coach.