Cerritos College Men's Basketball Questionnaire

Email Secondary Email

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Email address *

Name *

Address *

City *

State *

Zip Code *

Birthdate *

Cell Number *

High School Last Attended *

Year Graduated

City *

State *

High School Coach's Name *

AAU Team & Coach's Name *

Previous Colleges Attended

Include year(s)

Position

Height & Weight *

Athletic/Academic Awards

All-League, All-City, All-State, Team Awards

Please provide game film of yourself.

* required field