General Information

First Name: *

Last Name: *

Street Address: *

City: *

State: *

Zip: *

Citizenship: *

Phone: *

Email: *

Age: *

Gender: *

Birth Date: *

Height: *

Weight: *

Year in School: *

How did you hear about Crossover International:

Describe any health issues or limitations which you have or have had (including allergies):

What are your summer plans:

Do you have obligations that may conflict with tour dates? If yes, describe:

Explain why you wish to participate on a Crossover International Tour:

Educationial Information

School Now Attending:

City:

State:

School Size:

Honors/Awards:

Overall GPA:

Have you studied Foreign Language:

Yes

Which ones/How long:

Do you play a musical instrument:

Yes

Which instrument and how well do you play it:

Have you traveled abroad? If yes, when and where:

Do you have contacts in foreign nations? If yes, please explain:

If attending school in Fall '11, where:

When will school begin:

Basketball Information

Coach's Name:

Coach's Phone:

Statistics (Last 2 years played)

General

Year 1

Year:

School:

JV/VAR:

Position:

Starter?:

Year 2

Year:

School:

JV/VAR:

Position:

Starter?:

Per Game

Year 1

Minutes:

Points:

Rebounds:

Assists:

Other:

Year 2

Minutes:

Points:

Rebounds:

Assists:

Other:

Describe your role on your current team:

List any athletic honors/awards received:

Basketball camps or clinics you have participated in (Last 2 years)

Year 1

Year:

Camp/Clinic:

Location:

Year 2

Year:

Camp/Clinic:

Location:

List other school sports you have participated in:

Church Information

Name of your Church:

Denomination:

City:

State:

Pastor/Youth Pastor Name:

Personal Information

Do you have a relationship with Jesus Christ? If so, describe your relationship and how you came to know Him:

What are ways that you maintain your walk with the Lord and keep yourself accountable:

Do you attend any Christian group meetings, Fellowships of Christian Athletes, or Youth for Christ, etc.? Describe:

Overseas tours can provide plenty of unfamiliarities. Describe your attitude in situations that force you outside of your comfort zone:

Do you understand what Crossover International, Inc. stands for and believes in and are you willing to serve in that capacity?:

References

Reference 1

Name:

Phone:

Relation:

Reference 2

Name:

Phone:

Relation:

Reference 3

Name:

Phone:

Relation:

Crossover summer tours are financed by the tour participants. If selected for the summer tour, you will be expected to raise your share of tour expenses. All tour contributions are tax deductible. For more details, read the Crossover International Tour Application Terms & Conditions Contract.
Read Terms & Conditions >>

Do you agree to the terms & conditions: *

Yes, I have read the Terms & Conditions

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