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Panther C Symbol Men's Basketball

Head Coach: Jeff Klein
Assistant Coaches: Jon Keller
Prentice Harris
Colin Strand
Strength/Conditioning Coach:
Blackman Ihem  
Men's Basketball Office: 909/652-6317 Fax: 909/652-6295  



Prospect Questionnaire


The information provided in this form will be sent to the Chaffey College Men's Basketball office. Additional questions should be directed to the basketball office at 909/652-6317, or e-mail to jeff.klein@chaffey.edu. Thank you!

 

Last Name
  First Name
  Home Phone Number
  E-Mail Address
  Required
  Street Address
  City
  State
  Zip Code
   
  Birthplace (City and State)
  Birth Date
  Height
  Weight
   
  Planned Major
   
  High School
  High School Street Address
  City
  State
  Basketball Coach
  Basketball Coach Phone
   
  Graduation Month/Year
  PSAT Score
  SAT Score
  ACT Score
   
  Previous College Attended
  Street Address
  City
  State
  Basketball Coach
  Basketball Coach Phone
   
 
Positions Played:

 
 
 
   




   
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