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Youngstown State Men's Basketball Recruiting Questionnaire

Contact Information   
Name:       
E-Mail:       
Phone #:       
Address:       
City:       
State:       
Zip Code:       
Country:       
Fax #:       
Personal Information   
Date of Birth:       
Height:       
Weight:       
Shoe Size:       
Father's Name:       
Occupation:       
Mother's Name:       
Occupation:       
Guardian's Name:       
Academic Information   
High School:       
High School Address:       
City:       
State:       
Zip Code:       
Date of Graduation:       
GPA:       
SAT/ACT Score:       
Class Rank:       
Intended College Major:       
Athletic Participation   
Coach's Name:       
Primary Position(s):       
Varsity Sports Played (Indicate Number of Letters):