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Player Profile

Fill out this form and we will respond to your request as soon as possible.

Name:    
  First:
  Middle:
  Last:
         List any other names used in the past 7 years
                                (include nicknames):
     
Personal Information:    
  Height:
  Weight:
  Date of Birth (MM/DD/YYYY):
     
Contact Information:    
  Home Phone:
  Cell Phone:
  Other Phone:
  Email Address:
     
Current Address:  
  Street Address 1:
  Street Address 2:
  City:
  State:
  Zip:
  Begin Date (MM/DD/YYYY):
           If less than two years, list other cities lived in:  
1) City:
  State:
  Zip:
  Begin Date (MM/DD/YYYY):
  End Date (MM/DD/YYYY):
     
2) City:
  State:
  Zip:
  Begin Date (MM/DD/YYYY):
  End Date (MM/DD/YYYY):
     
Have you ever been convicted of a Felony or Misdemeanor?  
  Yes
  No
          If yes, please explain:  
 
     
Professional Basketball Experience:  
1) Country:
  Team:
  Start Date (MM/DD/YYYY):
  End Date (MM/DD/YYYY):
  PPG:
  APG:
  RPG:
     
2) Country:
  Team:
  Start Date (MM/DD/YYYY):
  End Date (MM/DD/YYYY):
  PPG:
  APG:
  RPG:
     
3) Country:
  Team:
  Start Date (MM/DD/YYYY):
  End Date (MM/DD/YYYY):
  PPG:
  APG:
  RPG:
     
4) Country:
  Team:
  Start Date (MM/DD/YYYY):
  End Date (MM/DD/YYYY):
  PPG:
  APG:
  RPG:
     
           Please document additional experience (if necessary):  
 
     
College Experience:  
1) College:
  City:
  State:
  Start Date (MM/DD/YYYY):
  End Date (MM/DD/YYYY):
  PPG:
  APG:
  RPG:
     
2) College:
  City:
  State:
  Start Date (MM/DD/YYYY):
  End Date (MM/DD/YYYY):
  PPG:
  APG:
  RPG:
     
Awards/Honors:  
1) Type:
  Date (MM/DD/YYYY):
2) Type:
  Date (MM/DD/YYYY):
3) Type:
  Date (MM/DD/YYYY):
4) Type:
  Date (MM/DD/YYYY):
5) Type:
  Date (MM/DD/YYYY):
     
Previous Agent (if any):  
1) Name:
  City:
  State:
  Date Terminated (MM/DD/YYYY):
     
2) Name:
  City:
  State:
  Date Terminated (MM/DD/YYYY):
     
Please re-enter your full name:
For identification, please enter the last four digits
          of  your Social Security Number:
Today's Date (MM/DD/YYYY):
     

* By submitting this form, player acknowledges that at this time he is not represented by an agent domestically and abroad, and gives ASEC permission to share his information with team executives domestically and abroad. Furthermore, this application in no manner shall constitute a contractual relationship with ASEC. However, if a job is found we expect the player to sign a contract with ASEC prior to signing a contract with the team.

     
   
 
 

 

 
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