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Home Athletics Women's Sports Basketball Recruitment Questionnaire
Athletics Recruitment Form

Thank you for your interest in Southern Maine Community College. Please fill out the form below.

Fields marked with a * are required.

Which Team Are You Interested In? * Men's Basketball
Women's Basketball
First Name *
Last Name *
Home Address - Line 1 *
Home Address - Line 2
City *
State *
Zip Code *
Home Telephone Number *
Email Address
Birth Date * (pull day/ month/year)    
Height *
Weight *
Father's Full Name
Father's Employer
Mother's Full Name
Mother's Employer
Name of Your High School Basketball Coach
Coach's Work Telephone
Coach's Home Telephone Number
Position(s) That You Played *
Points Per Game
Rebounds Per Game
Assists Per Game
Steals Per Game
Basketball Honors and Awards
Name of Your High School *
Date You Graduated * (pull down month/year)  
High School Telephone Number
High School Address - Line 1 *
High School Address - Line 2
High School City *
High School State * (pull down state)
High School Zip Code *
High School GPA *
SAT Verbal Score
SAT Math Score
SAT Composite Score
ACT Scores
Intended Major *
Additional Information
 
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Southern Maine Community College
2 Fort Road, South Portland, Maine 04106
For more information call 207.741.5500 or Toll Free in Maine 1.877.282.2182

 
SMCC is an equal opportunity & affirmative action institution and employer. For more information please call 207.741.5798.
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