The Official Home of the Richard Bland Statesmen

Recruit Questionnaire

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Personal Information

Email address *

First name *

Last name *

Address 1 *

City *

State *

ZIP Code *

Cell Phone Number *

Date of Birth *

Parent/Guardian Information

First Name *

Last Name *

Relationship *

Phone Number

Email

Academic Information

SAT

SAT

SAT

ACT

GPA *

Graduation Date *

School Information

School Name *

School Address *

School City *

School Zip *

School Phone Number

Counselor's Name *

Counselor's Email *

Counselor's Phone

Athletic Information

Height *

Jersey Number

Position 1 *

Position 2 *

Shots Per Game *

Points Per Game *

Field Goal Percentage *

Assists Per Game *

Rebounds Per Game *

Steals Per Game *

Athletic Honors

Highlight/Film Link

School Coach Information

First Name *

Last Name *

Email *

Phone *

* required field