Basketball Recruit Questionnaire
Name
Personal Information
Email
Address
(Street)
(City)
(State)
(Zip)
Please put your hold address in this box thank you...
Home Phone
Cell Phone
Father’s Name
Mother’s Name
Academic Information
Name of High School/Junior College
Please put your hold school name in this box thank you...
Graduation Date
SAT Comp
ACT
Class Rank
GPA
Planned Major
Academic Awards/Honors
Basketball Information
JERSEY #
POSITION
HIGHT
WEIGHT
VIDEO LINK, IF AVAILABLE
List Your TOP 25 schools you are interested in or have applied
List  Offensive Stats / Defensive Stats  here
Package
Please select a package
What Recruiter have you been talking to...
TERMS AND CONDITIONS
E- mail your top 15 school to:  j@ea365sports.com
Select YES are NO Agreement
EA365 SPORTS
Yes
No
ATHPGSGSFPFC
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Jermaine Keyes
Matt Jones 
Ron Hatfield
Michele Walling
Wendell Mitchell
Ivan Clark
Tiffany Johnson
Walk In
No
Yes