Athletics

Athletics Questionnaire

To receive more information about SLCC Athletics, please fill out this 5-minute form so that we may learn a little more about you.

Personal Information
First & Last Name:	*
Address:	*
Address (Line 2):
City:	*
State:	*
Country:
ZIP:
Phone Number:
E-mail Address:	*
Birthdate (ex. 03-12-1984):	*
Church you currently attend:
Parents' Name(s):
Academic Information
High School Information:
High School Attended:	*
GPA:	*
SAT Score(If Taken):
ACT Score(If Taken):
Year of High School Graduation:	*
Junior College Information (If Applicable):
Junior College Attended?
GPA:
Credits Completed:
Other College Information (If Applicable):
Other College Attended?
GPA:
Credits Completed:
Athletic Information
Sport of Interest: To select more than one sport please hold down the ctrl key and click the sports desired.
Positions Played: You may list multiple positions and multiple sports.
Height:
Weight:
Coach's Name (High School or Other):
Phone Number:
Number of Years Played:
Comments/Additional Information:

Personal Information