Sandfort grew up in Waukee, Iowa and attended Waukee High School, where he played basketball and golf. He averaged 19.8 points, 8.7 rebounds, and 4.0 assists as a junior. Sandfort was named the Iowa Basketball Coaches Association 4A Player of the Year after averaging 16.6 points, 7.7 rebounds, and 3.1 assists during his senior season. He also helped Waukee to a state championship in golf as a senior. Sandfort was rated a three-star recruit and committed to play college basketball at Iowa over offers from Stanford, Utah, Minnesota, Drake, Air Force, and Loyola University Chicago.
Sandfort served as a role player off of the bench for the Iowa Hawkeyes as a freshman. He played in 34 games and finished the season averaging five points and 1.9 rebounds per game. Sandfort grew one inch between his freshman and sophomore years. He entered his sophomore season as the Hawkeyes' starting shooting guard.
Sandfort's younger brother, Pryce, is currently committed to play basketball at Iowa.

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