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	FIRST NAME
	LAST NAME
	ADDRESS
	CITY
	STATE
	ZIP
	PHONE
	E-MAIL
	CONFIRM E-MAIL
	HIGH SCHOOL
	GRADE
	GRADUATION DATE
	HIGH SCHOOL COACH
	PHONE
CHURCH PREFERENCE
	HEIGHT
	WEIGHT
	POSITION
	POINTS PER GAME
REBOUNDS PER GAME
	ASSISTS PER GAME
	BLOCKS PER GAME
	FIELD GOAL %
	FREE THROW %
	3 POINT %
	OTHER SPORTS
WHAT DO YOU NEED (please check):
	APPLICATION
	CATALOG
	FINANCIAL AID INFO.
	DORM INFORMATION
	OTHER
CRC IS MY:
	FIRST CHOICE
	SECOND CHOICE
	OTHER

©Crowley's Ridge College 2008-2009
100 College Drive Paragould, Arkansas 72450
Phone: 1-870-236-6901; 1-800-264-1096 Fax: 1-870-236-7748

CRC is accredited by the Higher Learning Commission and a member of the North Central Association.
30 North LaSalle Street, Suite 2400, Chicago, Illinois 60602-2504, www.ncahigherlearningcommission.org