Prospective Athlete Form - Kellogg Community College

450 North Avenue • Battle Creek, MI. 49017 • 269.965.3931

Recreational Facilities

PROSPECT PROFILE

Sports Interested in:

Volleyball Soccer Women's Basketball Men's Basketball Softball Baseball

PERSONAL INFORMATION

First Name:	Last Name:
Address: Street: City: State: Zip
Phone Number: Area Code: Phone: TTY:
Cell Phone Number: Area Code: Phone:
E-mail address:
Physical: Height: Weight: lbs
Dominant Hand: Left Right

HIGH SCHOOL INFORMATION

High School Name:

Address:

Street: City: State: Zip

Date of Graduation:

(dd-mm-year)

High School Coach:

Coach's Phone:

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

For example: Baseball-left fielder, .351 BA for season
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Awards/Honors:

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