Prospective Athlete Questionnaire

Personal Information

First Name:

Last Name:

Home Phone:

Cell Phone:

Email:

Address:

City:

State:

Zip:

Family

Mother's Name:

Mother's Occupation:

College Attended

Fathers's Name:

Father's Occupation:

College Attended

With Which Parents Do You Live:

Brother(s)/Sister(s)

Friends/Family living on the coast:

Other Interests:

Athletic Information

Position:

Height:

Weight:

Jersey #:

Jersey Color:

PPG:

RPG:

Assists/Game:

Steals/Game:

Field Goal%:

FT%:

Athletic Honors:

Academic Information

High School:

Coach:

Academic Major:

GPA (4.0 scale):

ACT Score:

I give my consent for a copy of my transcript and test scores to be released to MGCCC