Leeds Carnegie Basketball

Men's Division 1 Home Fixtures & Results Table Stats Player Profiles Coach Profiles

Men's Division 3 Home Fixtures & Results Table Stats Player Profiles Coach Profiles

Women's Division 1 Home Fixtures & Results Table Stats Player Profiles Coach Profiles

Personnel Information

Gender:

Status:

Full Name:

Telephone:

Date of Birth (DD-MM-YY):

Mobile:

House No. / Street:

Fax:

Town / City:

Email Address:

Postcode:

Country:

*Section not Required if you are a Professional / No Longer in Education

High School:

Fax:

Street:

Telephone:

Town / City :

Postcode:

Country:

Name of Last or Current Team:

Name of Last or Current Basketball Coach:

Coach's Home Telephone:

Position(s) Played:

Height:

ft. inch

Weight:

lbs.

Number of Years Played:

*Section not Required if you are a Professional / No Longer in Education

Area of Academic Interest - What do you wish to study?
Current Academic Year (Grade):
Last Reported Cumulative GPA:
Intended Year of Graduation:
Have you applied, or will you apply to Leeds Met?
To what other universities have you applied, or will you apply to?
If you are a Leeds Met student please supply your Student ID#:

Use this section to tell us anything else about yourself that you feel we should know (Max 1000 characters).

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