<%@ LANGUAGE="VBSCRIPT" %> <% ' Function that Returns the reCaptcha code to place on the form dim recaptcha_challenge_submit function recaptcha_challenge_writer(publickey) recaptcha_challenge_submit = ""& _ "" end function %> CSCC Men's Basketball Prospect Questionaire

CLEVELAND STATE COMMUNITY COLLEGE
P.O. Box 3570
Cleveland, TN 37320-3570

Lee Ciglinao
Head Basketball Coach
Office: 423-614-8760
Fax: 423-614-8725

Men's Basketball Prospect Questionnaire


Personal Information

Name
Address
City  State  Zip Code
Home Phone Number  Alternate Phone Number
Guardians  Phone Number
   


Academic Information

High School
Address
City  State  Zip Code
School Phone Number
Major Interest

 

Athletic Information

Head Coach  Home Phone Number
School Phone Number
Position  Height Weight
Points Per Game Rebounds Per Game Assists Per Game
Field Goal %  3 PT % FT %
Coach's Comments
  Please type the text below before submitting the form:
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