Men's Basketball Recruit Me!

Rob Buss
Basketball (Men's) Head Coach
Office: G408
815-825-2086, ext. 2400

Contact Information

Full Name:
Address:
City:
State:
Zip Code:
Email:*
Phone Number:
  (xxx-xxx-xxxx)
Cell Phone Number:
  (xxx-xxx-xxxx)

* = required

Family Information

Parent/Guardian's Name:
Parent/Guardian's Occupation:
# of Brothers/Sisters in Family:
In Preschool:
In K-12:
In College:

Student Information

Birth Date:
 / /
Height:
 ft / in
Weight:
 lbs
Age:
 yrs
Coach's Name:
Coaches Phone Number:
(xxx-xxx-xxxx)
Sport(s) You Participated In:
(Ctrl-click to select multiple sports)
Position(s) Played:
Basketball Stats:
ppg
rpg
apg
spg
FG%
FT%
Athletic Honors Received:
Does Your School Film Games?
Hobbies:

High School Information

Your High School:
High School Address:
City:
State:
Zip Code:
High School Counselor's Name:
Counselor's Phone Number:
(xxx-xxx-xxxx)
Present Cumulative Grade Point Average:
Class Rank:
Graduation Date:
 /
Intended College Major:
ACT Score:
SAT Score:


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