Kirtland Community College

PROSPECTIVE STUDENT ATHLETE FORM

 

* = required field

PROSPECT PROFILE

 * Sports

Interested

In:

Men's Basketball

Men's Cross-Country

Men's Golf

Women's Basketball

Women's Cross-Country

PERSONAL INFORMATION

* First Name:

* Last Name:

* Address:

Street:

City:

State or Province:

Zip Code:

Country:

* Phone Number:

Cell Phone Number:

* Email Address:

* Physical:

Height: feet   inches    Weight (lbs):

* Dominant Hand:

Left     Right

HIGH SCHOOL INFORMATION

* High School Name:

* Address:

Street:

City:

State or Province:

Zip Code:

Country:

* Date of Graduation:

 (mm/dd/yyyy)

* GPA:

(if transferring from a college, please provide college GPA)

* High School Coach:

* Coach's Phone:

Please list all events/positions to your sport(s) and relevant stats:

(must list at least one)

 

(e.g. field goal %, average 18-round golf score, etc/)

1

2

3

4

5

Awards/Honors:

1

2

3

4

5