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Women's Basketball
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Interest Form
Woman's Basketball Interest Form
Contact Information
First / Given Name
Enter your First Name e.g.: "John"
Last / Family Name
Enter your Last Name e.g.: "Smith"
Street Line 1
Please enter the first line of your address e.g.: "100 Main St"
Street Line 2
Please enter the second line of your address if required e.g.: "Apt 23C"
City
Please enter the City or Village name e.g.: "Berrien Springs"
Zip/Postal Code
Please enter the ZIP or postal code examples: "49103", "49104-0880" or "L8R 2D4"
State/Province
Select One
Alberta
Alaska
Alabama
Arkansas
Arizona
British Columbia
California
Colorado
Connecticut
Dist. of Columbia
Delaware
Florida
Georgia
Guam
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Manitoba
Maryland
Maine
Marshall Islands
Michigan
Minnesota
Missouri
Mariana Islands
Mississippi
Montana
New Brunswick
North Carolina
North Dakota
Nebraska
Newfoundland
New Hampshire
New Jersey
New Mexico
Nova Scotia
Nunavut Territory
Nevada
Northwest Territory
New York
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Quebec
Puerto Rico
Rhode Island
South Carolina
South Dakota
Saskatchewan
Tennessee
Texas
Utah
Virginia
Virgin Islands
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Yukon Territory
Please enter the state or province name e.g.: "Michigan"
Country
Select One
Canada
United States
Please Enter the country for the address e.g.: "Mexico"
Phone Number
Home
Cell
Work
Fax
-
-
Please enter a contact person's phone number
E-mail Address
Please enter your E-mail address
Best Time/Days to Reach you:
Please enter the best time(s) to reach you (optional)
Parent Names
Please enter in your parent's names (optional)
Parents E-mail
Please enter in your parents E-mail
Personal Information
Height
Please enter in your height (optional)
Weight
Please enter in your weight (optional)
High School
Please enter in your High School
High School Graduation Year
Please enter in your High School Graduation Year
Do you have transferable credits from another college or university?
Yes
No
Please select whether you have transferable credits from another college or univerisity (optional)
If so, which college or university?
Please select the college or univsity that you have transferable credits from
Academic Interests
Please enter in any academic interests that you have (optional)
Current GPA
Please enter in your current GPA (optional)
Other colleges you are interested in:
Please enter in any other colleges you are interested in (optional)
Intended starting term at Andrews
Fall
Spring
Summer
Please select your intended starting term at Andrews
Year
Please enter in your intended starting year at Andrews
Do you know any current or former Andrews students?
Please enter in any Andrews current or forms students you know (optional)
Basketball Information
Size of School
Please enter in the size of your school
Position Played
Please enter in the position you played
Years of varsity experience
Please enter how many years of varsity experience you have
Coach's name
Please enter in your Coach's Name
Coach's Phone
Home
Cell
Work
Fax
-
-
Please enter in your Coach's phone number
AAU:Experience
Please enter in your AAU Experience
Awards/Honors:
Please enter in any awards or honors
Additional Comments
Please enter in any addditional comments