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University of Southern Maine Women's Basketball
Recruiting Questionnaire

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 Soc. Sec. #

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


Basketball Information

Height Position Points/Game Rebounds/Game

Honors and Awards:


Coach's Name Home Phone

Coach's Address

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If you'd prefer, request a brochure
or send this information
by e-mail to Coach Fifield:
gfifield@usm.maine.edu
Or by postal mail:
Coach Gary Fifield
University of Southern Maine
37 College Avenue
Gorham, ME 04038-1083
(207) 780-5475

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