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Prospective Student-Athlete Information Form

Interested in attending Cabrillo College and playing men's basketball? If so, please fill out the form below as completely as possible and then be sure to click on the "Submit" button.

PLEASE NOTE: By CCCAA regulations, any prospective student-athlete who does not reside in the state of California and wants information regarding enrollment and sports programs at Cabrillo College must initiate first contact with the Cabrillo College Athletic Department.

 

PERSONAL INFORMATION

Full Name:

Social Security #: example: 123-45-6789

Email Address:

Home Phone # example: (555) 555-1234

Cell Phone # example: (555) 555-1234

FAX # example: (555) 555-1234

Mailing Address:

City: State:

ZIP: Country:

Birthdate: Age:

FAMILY INFORMATION

Mother's Name: Mother's Occupation:

Father's Name: Father's Occupation:

HIGH SCHOOL INFORMATION

Name of High School: Year of HS Graduation:

High School City & State:

High School Coach: Coach Phone #: example: (555) 555-1234

High School G.P.A.: SAT or ACT Score (if applicable):

COLLEGE INFORMATION

Have you ever attended a college or university? If NO, skip to "Basketball Info" section

Current College or University (if applicable):

College City & State:

College Coach: Coach Phone #: example: (555) 555-1234

BASKETBALL INFORMATION

Position: Height: Weight:

How many years did you play basketball in HS? Years on varsity?

Statistics, IF known, for Current Season (if at least 5 games) OR from most recent completed season:

Points per game: Rebounds per game: Assists per game:

Use this box to list other relevant basketball statistics, honors & achievements:

JUST A FEW MORE QUESTIONS...

Have you already submitted a FAFSA application?

Are you eligible to receive a pell grant?

Do you have your own car?

Did you find our website using a search engine?

If YES, which one? If NO, how did you hear about our website?

To complete this form indicating your interest in Cabrillo men's basketball and submit it to the coaching staff, please click on the "Submit" button:

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