Name *
Date of Birth *	Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December Year 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995
Name of Guardian/Parent *
Address *
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Prov./State *
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Postal Code *
Phone Number *
Email *
High School *
School Address *
City *
Prov./State *
Country *
Postal Code *
School Phone Number *
Academic Average *	Please select one A A- B+ B B- C+ C C- D+ D-
Grad Year *
Coach Name *
Coach Phone Number
Coach Email
Counsellor Name
Counsellor Email
Major Field of Study In College *
Interest in UNBC *	Please select one Very Interested Interested Not Interested
List in Order the Schools which you wish to Attend *	1) 2) 3)
Height *
Points per Game *
Rebounds per Game *
Assists per Game *
Positions Played *
Athletic Honors
What Information do you need from UNBC? *
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