If you are interested in playing basketball for Campbell University, please complete the following form. This form is NOT an official University application. You may fill out this form in your web browser and then click the submit button at the bottom of the page.

Required Fields in Bold

Full Name

Address

City/State/Zip

Date of Birth

E-Mail Address

Home/Cell Phone Number(s)

Parents' and/or Guardians Names

Registered with NCAA Clearinghouse

Clearinghouse ID Number

High School/Junior College Name

HS/JC Address

HS/JC City/State/Zip

HS/JC Phone

Overall GPA/Core GPA

Graduation Date

SAT (Math/Verbal/Total)

ACT

Coach's Name

Coach's Office/Cell Phone

Coache's E-mail

Heigh/Weight

Position

 

Point/Rebound Average

AAU Team

AAU Coach's Name & Number

Do you know anyone who is or has been enrolled at Campbell University?

Desired area of study in college