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Recruiting Questionnaire

General Information
Name:
E-mail Address:
Phone #:
Street:
City:
State:
Zip:
Father's Name:
Occupation:
Mother's Name:
Occupation:
School Information
High school or Junior College:
Street:
City:
State:
Zip Code:
Coach:
Coach's Phone:
Academic Information
Year in School:
Cumulative GPA:
Class Rank:
Taken the ACT/SAT?	Yes No
ACT/SAT Score:
Date Taken:
Anticipated Major:
Anticipated Minor:
Athletic Information
Height:
Weight:
Position:
Scoring Average:
Rebound Average:
Assist Average:
Field Goal %:
Free Throw %:
3 Point FG %:
Honors Received:
Video Tape Available?	Yes No
Would you like visit Clark College and play in an open gym ?	Yes No

Mike Arnold Head Men's Basketball Coach Phone: (360) 992 - 2187 E-Mail: marnold@clark.edu Building: O'Connell Sports Complex (OSC) Mail Stop: 11