Thank you for your interest in the County Upper Basketball Academy program. To help us understand more about you as a student-athlete please fill out this questionnaire and submit it online.

Your Name

Date

Home address

Your Email

Town

County

Postal Code

Home phone

Age

Height

Weight

High School & Club Team

Year you finish/finished high school

Predicted/Actual High School Grades:

Math

English

Science

History

Geography

Music

Art

Design

PE

German

French

Other GCSE’s please list

Head Coach’s Name

Work number

Home number

Please indicate any information related to your athletic performance
(i.e., Scoring average, position, role etc.)

Honours and /or Awards

To help us make better judgment of your playing ability please send 2 of the following, to the address bellow:

* Letter of recommendation from your coach
* Video of Basketball Game
* Any other information you feel is important to evaluate your athletic performance

Bury St Edmunds County Upper School
Basketball Academy
Beeton’s Way
Bury St Edmunds
Suffolk IP32 6RF