'

BASEBALL PROSPECTIVE ATHLETE QUESTIONNAIRE

Name
E-mail Address
Address
Home/Cell Phone
City/State/Zip
Date of Birth
NCAA Clearing House Number
Mother's Name
Occupation
Father's Name
Occupation

BASEBALL INFORMATION

Position
Height
Weight
Bats/Throws
Jersey #
60-yard-dash time

HITTING STATISTICS

Games Played
Avg.
2B
3B
HR
BB
SB

PITCHING STATISTICS

Games Pitched
W-L
Saves
ERA
SO
BB
MPH

AWARDS/HONORS

Please summarize athletic/academic awards won at any level.

SUMMER BALL

Summer Team
Head Coach
Coach's Phone

ACADEMIC INFORMATION

High School Name
Address
City/State/Zip
GPA/Class Rank
Date of Graduation
ACT/SAT
HS Coach
HS Coach Phone

Junior College
Address
City/State/Zip
JC Coach
JC Coach Phone
A.A. Degree Date
JC GPA