USM Athletics Department

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Recruiting Form

Please fill out the following information and press the SUBMIT button once:
(Note: fields in bold are required.)

Date

Personal Information

First Name Last Name

E-Mail Address:

Street Address

City State Zip Code

Phone

School Phone

School Address

Do you know anyone who has attended or is associated with USM? Yes No If so, who?

Academic Information

H.S. Graduation Date Class Rank Approx. H.S. grade avg.

SAT Scores: Verbal Math Composite Date Taken

Planned College Major (e.g. business, nursing, etc.)

Guidance Counselor

Golf Information

Latest GHIN Handicap Home Course Slope

Head Pro Years Played in High School

Honors and Awards:

Coach's Name Home Phone

Click Button Once to

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If you'd prefer, request a brochure
or send this information
by e-mail to Coach Grant:
rtgphs@yahoo.com

Or by postal mail:
Coach Reg Grant
University of Southern Maine
37 College Avenue
Gorham, ME 04038-1083
(207) 780-5995


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