Southwestern Oregon Community College

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Southwestern's Men's Basketball Team

First Name
Last Name
Address
City		State
Zip
Phone
Fax
Email Address (Please enter "none" if you don't have one.)	MUST be a VALID email address. Do not put in multiple addresses.
High School
Grade
GPA
High School Coach Name
Coach's Phone #
Height
Weight
Position
Right or left hand shooter
Points per game
Rebounds per game
Assists per game
Interest in Attending Southwestern 1-5
Career Interest
Years playing varsity.
Call me.	Yes No
Please use this space to list any Basketball Honors you have achieved or to ask a question that you may have.

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