Northland Community & Technical College
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Pioneer Radio
Recruiting
WOMEN's Basketball reCRUITING questionnaire
Are you interested in becoming a Northland Pioneer? Please tell us more about yourself by filling out this online questionnaire! When you hit the "Submit" button at the bottom of the page this form will be sent to the Northland Pioneer women's basketball coaching staff.
 
Required Information
 
Personal Information
   
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Home Phone:
Cell Phone:
Birth Date:

/ /
(MM/DD/YYYY)

Email:
   
Family Information
   
Father's Name:
Mother's Name:
   
Academic Information
   
Current Grade Level:
High School Attended:
Current GPA:
ACT or SAT Score:
Intended Field of Study:
   
Athletic Information
   
Basketball Positions Played:
 
 
Uniform Number:
Athletic Honors:
 
 
 
High School Basketball Coaches Name:
Coaches Phone Number:
Other Sports Played:
 
 
Additional Comments or Questions:
   
 
 
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