JSC Athletics Athletic Prospect Information Form

	Personal Information
	First Name*
	Last Name*
	Address 1*
	Address 2
	City*
	State*
	Zip*
	Home Phone*
	Email*
	Name of Parent or Guardian*
	Name of Friends or Relatives Who Have Attended JSC
	How Did You Hear About JSC?

	Academic Information
	Name of High School*
	Graduation Year*
	Current College (if interested in transfer)
	Guidance Counselor Name*
	Guidance Counselor Phone
	Class Rank
	GPA
	SAT Scores
	Other Colleges You Are Considering
	Anticipated College Major
	Level of Interest in Johnson State College* Strong Undecided Not Interested

	Athletic Information
	What sport or sports are you interested in?* Basketball (Men's and Women's) Tennis (Men's and Women's) Soccer (Men's and Women's) Cross Country (Men's and Women's) Lacrosse (Men's) Softball (Women's) Golf (Men's) Volleyball (Women's)
	Position(s) Played*
	Height*
	Weight*
	Years Lettered
	HS Coach
	Coach's Phone
	Per Game Statistics
	Individual Hours
	Other Comments or Information

Please fill in a valid value for all required fields