Personal Infomation

Who is completing this form? *

athlete parent

Please select MEN'S BASKETBALL from the dropdown menu *

ZIP Code *

Email address *

Cell Phone Number *

Address 2

City *

Address 1 *

Last name *

State *

First name *

Name you go by

Date of Birth *

Home Phone

Cell Phone *

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Phone Number *

Parent/Guardian Email Address *

Preferred Method of Contact *

Email Phone Call Text Message

Living Arrangements *

On Campus Off Campus - commute from home Off Campus apartment Undecided

Campus Location Preference *

Urban Suburban Rural No Preference

Regional Preference *

New England (ME, NH, VT, MA, CT, RI) Mid-Atlantic (NY, PA, NJ) South Atlantic (WV, MD, DC, DE, VA, NC, SC, GA, FL) East North Central (WI, MI, IL, IN, OH) East South Central (KY, TN, MS, AL) West North Central (ND, SD, MN, NE, KS, IA, MO) West South Central (OK, TX, AR, AL) Mountain (MT, ID, WY, NV, UT, CO, AZ, NM) Pacific (AK, WA, OR, CA, HI)

Academic Information

High School *

Graduation Year *

If transfer student, current college/university

Years competed at previous institution

Transfer students only

Are you interested in attending a college/university with a religious affiliation? *

Yes No Unsure

GPA *

Class Rank

SAT Reading Score

SAT Math Score

SAT Writing Score

ACT Composite Score

Intended Major *

Secondary Major

Academic Honors/Awards

Athletic Information

Height

Weight

Position(s) Played *

Select all that apply

Center Power Forward Small Forward Shooting Guard Point Guard

Primary Position(s) *

Please select the two positions you play most often

Center Power Forward Small Forward Shoot Guard Point Guard

Playing Experience *

List positions and years played at each

Please list any Individual Awards, Team Awards, Career Highlights, and Personal Achievements

Have you already committed to a college/university? *

Yes No

References

High School Coach *

Please provide name and contact information

Club Information

Please provide: Club name, Coach name and contact information

Previous Institution Information

Please provide: Institution name, Coach name and contact information

If you have other recruit profiles/links to video or other supporting information please provide the links here:

All information must be available via link, the form does not support file uploads

Additional Supporting Information

Personal Statement, Career Interests, Volunteerism, Etc.

By clicking “yes” and submitting, you agree to receive personalized follow-up and marketing messages from NCSA by email, phone and automated text. Consent is not a condition of purchase. Standard rates apply.

Does your child want to compete at the college level? *

Yes, my child wants to get recruited and compete in college! By selecting Yes, I agree to share the information provided above with NCSA and its affiliates: for use in accordance with its Privacy Policy and Terms; to receive promotional emails and live, automated, and artificial or prerecorded calls and text messages; and, to create a free profile. I understand that my consent is not a condition of any purchase and may be withdrawn at any time. Standard message and data rates may apply. No thanks

"In my daughters' quest to participate in college athletics, NCSA has given them exposure to colleges and coaches they otherwise would not have had."

Chris Broussard, Fox Sports Analyst & NCSA Parent

* required field

USCAA Men's Basketball Recruit Profile

Personal Infomation

Academic Information

Athletic Information

References