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College Prospects of America

"OPENING DOORS TO COLLEGE OPPORTUNITIES"

PO Box 718, CarnegiePA 15106
Telephone: 412.576.5436 or 412.398.1135
Internet: http://www.cpoapa.com
Email: Rob.Naylor@CPOAPA.com or JoAnna.Naylor@CPOAPA.com

Please fill out the questionnaire below and we will get back with you as soon as possible.

 


CPOA ATHELTIC QUESTIONNAIRE:

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Student Information

Student Name: High School GPA:

Address: City: State: Zip:

Phone: Cell: Email:


Sport Information

Sport(s): Position(s): Height: Weight:

Notable Athletic Skilles, Honors, Awards to Date:



Coach Information


Coach's Name: Coach's School/Other:

Coach's Work Phone: Coach's Home Phone


Permissions


Please have a CPOA representative contact me:

If yes, choose a CPOA representative

Best Time to Contact Me:

Comments:


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