Prospective Men's Basketball Student-Athlete Information

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Thank you for your interest in Linn-Benton Community College men's basketball! Please complete the information below so that we can learn a little more about you. We will be in contact with you shortly.


 CONTACT INFORMATION
Enter as 555-555-5555

 PARENT / GUARDIAN INFORMATION
Full Name
Full Name
Enter as 555-555-5555
I live with:

 ACADEMIC INFORMATION
Have you taken any courses for college credit?
Are you registered with an Eligibility Center?
What academic major area is of interest to you?
Are you interested in our degree partnership program with Oregon State University?

 ATHLETIC INFORMATION
Dominant Hand *

 
Ex: https://myvideohost.com/me
* required field