Questionnaire for Prospective Volleyball Players

Personal Information
Full Name:
Home Address:
City:
State:
Zip Code:
Home Phone:
Fax:
Email Address
Birth Date:mm/dd/yyyy
Year of HS Graduation:

Parent / Guardian Information
Father's Name:
Father's Occupation:
Mother's Name:
Mother's Occupation:

High School Information
High School:
High School Address:  
HS Graduation Date:
HS Grade Point Average:
Class Ranking (rank/class size):   out of    

Standardized Test Scores  
PSAT: Verbal: Math:
SAT: Verbal: Math:
ACT: Composite:  
Academic Honors:  

Athletic Information
Position:
Dominant Hand:
High School  
HS Coach's Name:
HS Coach's Home Phone:
HS Coach's Work Phone:
HS Coach's email address:
HS Jersey # :
Club  
Club Name
Club Coach's Name:
Club Coach's Home Phone:
Club Coach's Work Phone:
Club Coach's email address:
Club Jersey # :
Height:
Weight:
Standing Reach:
Vertical Jump without Approach
(Block jump):
Vertical Jump with Approach
(2 foot takeoff):
Vertical Jump with Approach
(1 foot takeoff):
Bench Press (1 Max Rep):
Squat (1 Max Rep):
Have you suffered any serious injuries? If so, please list:  
Have you ever had any surgeries?
If so, please list:
 

Mt. Hood Community College
Potential Area of Study:
List your top 3 college choices: 
How interested are you in attending Mt. Hood Community College?  
Very Interested  It Has Potential  Safety School  Need More Info
If you have a video tape available (including demonstration of skills as well as a complete unedited game) and if you have a high school and club volleyball schedule, please send it to the address below.

 

Contact Information

Head Coach: Chelsie Speer
Office Phone: (503)491-7453
Fax: (503) 491-7397
Email Address: Chelsie.Speer@mhcc.edu
Web Site: www.mhcc.edu

PLEASE EITHER PRINT AND SEND THE COMPLETED QUESTIONAIRE TO:
Mt. Hood CC Volleyball
26000 SE Stark St
Gresham Oregon 97030

OR

CLICK THE SUBMIT BUTTON and it will be sent directly to Coach: Chelsie Speer's email

   

© 2014 Mt. Hood Community College | 26000 SE Stark St. | Gresham, OR 97030 | 503-491-6422
 Last Modified: 4/3/2014 1:23:11 PM