PROSPECTIVE STUDENT ATHLETE
Personal Information
PROSPECTIVE STUDENT ATHLETE
Personal Information
Name:_____________________________ Phone: ____________________ Graduation Date:________
Address: ___________________________
Date of Birth:____/____/____ Social Security #:__________________________________________
Mother's Name:_____________________________ Occupation: ________________________________
Father's Name:_____________________________ Occupation: _________________________________
Academic Information
High School:__________________________________________________________
Name:_____________________________ Address______________________ City_________
State: __________ Zip:______________
GPA:___________ SAT:____________________ ACT:________________
Academic Interest/Clubs/Hobbies:_____________________________________________________________
Academic Honors:________________________________________________________________________
Projected College Major:___________________________________________________
Other Schools Interested in:_________________________________________________________________
Athletic Information
High School Coach:___________________________ School Phone:______________________________
Years on Varsity:________________________ Position:____________________ Rt./Lt. Handed:____
Ht.:___________ Wt.: ________ Vertical Jump:_________________________
PPG:_______ RPG:____ Assists:____ Steals:____ Blocks:____
Video Available: _________ H.S. Jersey #:____
Athletic Honors/Awards:___________________________________________________________________
AAU Experience:________________________________________________________________________
Club Name:______________ Years__________ Coach_____________________ Phone#____
Print and Mail this form to:
Enterprise-Ozark Community College
Ricky Mularz , Head Women's Basketball Coach
P.O. Box 1300
Enterprise, AL 36331