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Prospective Players Questionnaire

Personal Information 
Name:   
Email:   
Address:   
City:   
State:   
Zip Code:   
Home Phone:   
Cell Phone:   
Height:   
Weight:   
Father's Name:   
Father's Occupation:   
Mother's Name:   
Mother's Occupation:   
Do you have game tape available?
   

Academic Information 
High School:   
Phone Number:   
Year of Graduation   
Current GPA:   
ACT Score:   
SAT Score: Verbal   
SAT Score: Total   
Counselor Name::   
Desired College Major:   

High School Athletic Information 
Coach's Name:   
Coach's School Phone:   
Coach's Home Phone:   
Coach's Cell:   
Coach's Email:   
Primary Position:   
Secondary Position:   
Uniform #:   

Club/Summer Team Information 
Team Name:   
Coach's Name:   
Coach's Home Phone:   
Coach's Cell:   
Coach's Email:   
Primary Position:   
Secondary Position:   
Uniform #:   
   
Miscellaneous Information 
Reason for interest in the Mt. Hood Community College Women's Basketball Program :
 

 
Academic and athletic goals:
 
Other hobbies, sports or activities:
 
List the top three college of your choice: (In order of preference)
 


Sports Specific - Basketball 
Pts/Game   
Rebs/Game   
Asst/Game   
Stls/Game   
Blks/Game   
Name three of the best players you have played against (name/height/school):
 


PLEASE EITHER PRINT AND SEND THE COMPLETED QUESTIONAIRE TO:
Jocelyn McIntire
Mt. Hood Community College
Department of Athletics - Men's Basketball
26000 SE Stark St
Gresham Oregon 97030

OR

CLICK THE SUBMIT BUTTON and it will be sent directly to Jocelyn McIntire's Email

   

 
© 2013 Mt. Hood Community College | 26000 SE Stark St. | Gresham, OR 97030 | 503-491-6422
 Last Modified: 6/28/2011 11:02:03 AM