UMBC

Women's Basketball

 

Prospective Student-Athlete Form

Email address *

Please fill out the form below to submit your information to UMBC Women's Basketball. All fields are not required but please keep in mind that the more information you supply the better your chances of being recruited.

Personal Information

Today's Date
MM/DD/YY
First Name
Last Name
Address 1
Address 2
City
State
Zip
Home Phone
Social Security Number
Date of Birth
MM/DD/YYYY

Family Information

Father's Name
Father's Occupation
Father's Work Phone
Father's Home Phone
Father's Email
Mother's Name
Mother's Occupation
Mother's Work Phone
Mother's Home Phone
Mother's Email
Number of Siblings

High School and Academic Information

Graduation Date
MM/DD/YYYY
High School Attended
H.S. Address 1
H.S. Address 2
H.S. City
H.S. State
Zip
H.S. Phone
Academic Counselor
Counselor Phone
Anticipated Area(s) of Study

Test Scores

G.P.A.
SAT
PSAT
ACT

Women's Basketball Information

Position(s) Played
Points Per Game
Rebounds Per Game
Assits Per Game
Height
Please List Athletic Achievements

High School Coach

First Name
Last Name
Phone
E-Mail

Club Team Information

Club Name
Club Coach First Name
Club Coach Last Name
Club Coach Phone
Club Coach Emails
Please List Other Schools You Are Interested In
* = required field

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