Women's Volleyball Recruit Questionnaire
(Please complete the following information)
General Information:
Name:
High School:
Address:
Address:
City, State, Zip:
City, State, Zip:
Home Phone:
School Phone:
E-mail:
Graduation Date:
Date of Birth:
G.P.A.:
Parent Names:
SAT/ACT Score:
Parent Occupations:
Class Rank:
Parent Work Phone:
Counselor's Name:
Academic Awards:
Academic Interest:
Academic Awards continued:
Volleyball Information:
High School:
Personal:
Years Played:
Height:
Position(s):
Weight:
Team Record:
Dominant hand:
District/Class of School:
Spike Approach Touch:
Coaches Name:
Standing Reach:
Coaches Phone:
Block Touch:
Club:
One Step Vertical:
Club Name:
Standing Broad Jump:
Club Address:
Athletic Awards:
City, State, Zip:
Years Played:
Position(s):
Coaches Name:
Coaches Phone:
(please circle one)
Did you include a video tape?
Yes
No
If no, please, send at your earliest convenience.
Optional Information
:
(please check one)
How did you hear about Clinton Community College?
_____ Newspaper
_____ College Fair
_____ Alumni of Friend Referral
_____ HS Counselor
_____ HS Coach
_____ Other
Who are your top three college choices?
1. _________________________________________________________________
2. _________________________________________________________________
3. _________________________________________________________________
Coach Joe Shovlain, Clinton Community College, 1000 Lincoln Boulevard, Clinton, Iowa 52732-6299
Phone: (563) 244-7014, E-mail:
jshovlain@eicc.edu