Recruiting Questionnaire
Email
Secondary Email
There are errors with your form submission. Please review and submit again
Email address *
First name *
Last name *
Address 1 *
City *
State *
ZIP Code *
Date of Birth *
Phone Number *
Cell Phone Number *
Mother's Name *
Mother's Email *
Mother's Address *
Mother's City *
Mother's State *
Mother's Zip *
Mother's Occupation *
Mother's Cell *
Father's Name *
Father's Email *
Father's Address *
Father's City *
Father's State *
Father's Zip *
Father's Occupation *
Father's Cell *
Live With *
Mother
Father
Both
Are you interested in playing basketball after you career at BRCC *
Yes
No
Sibling (s) Name (s) *
Other schools recruiting you *
High School *
High School City and State *
High School Phone *
High School Web Site *
High School Graduation Date *
High School GPA *
SAT score *
ACT score *
Intended Major *
Guidance Counselor *
Guidance Counselor Phone *
Guidance Counselor E-mail *
Transfer Student *
Yes
No
If yes, Name of school (s) previously attended and dates of attendance *
High School Coach *
High School Coach's Email *
High School Coach's Phone Number *
Height *
Weight *
Position (s) *
Jersey Number *
Points per game *
Rebounds per game *
Assists per game *
Athletic Honors *
Other Varsity Sports Played *
AAU Team name *
AAU Coach's Name *
AAU Coach's Email *
AAU Coach's Cell Phone *
Submit
* required field