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Women's Basketball - Recruit Me Form

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Biographical Information

First Name*

Preferred Name

Last Name*

Birthdate

Birthdate

Email Address*

Cell Phone*

Gender*

Gender*

Femaile

Mailing Address*

Mailing Address*

Country

Street

City

Region

Postal Code

Sport Info

Position(s)

Jersey Number

Height

AAU Team

Loras Connection(s)

Website/Recruiting Profile/
Highlight Film Link

Parent Info

Parent/Guardian #1 Name

Parent/Guardian #1 Email

Parent/Guardian #2 Name

Parent/Guardian #2 Email

Social Media

Twitter

Instagram

School Information

Student Type*

High School

High School*

CEEB Code

Most Recent College*

CEEB Code

Undergraduate

Academics

Loras Entry Term
(Fall Following High School Graduation Year)*

GPA (unweighted)

Recruit Me For (Please select one or both)*

Recruit Me For (Please select one or both)*

Basketball Women

LORAS COLLEGE · 1450 Alta Vista Street · Dubuque, IA 52001 · 563.588.7236
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