Baseball Prospect Questionnaire

Personal Information

First Name:

  Middle Name:  Last Name: 
Graduation Date:  Date of Birth  Age:

Address:

 

City:

 

State, Zip:

Home Phone:

 

JUCO Phone:

SSN#: 

Cell Phone:

 

E-Mail:

 

Mother's Name:

 

Occupation:

 

College:

 

Father's Name:

 

Occupation:

 

College:

 

Brothers/Sisters(Names/Ages):

 

Parents Are:

Single  Married  Divorced 

I Live With:

Both  Mom  Dad Other
Academic Information

High School:

 

Year of Graduation:

 

High School Address

 

High School Coach:

 

College Coach Attended:

 

Coach's Office Phone:

 

Coach's Home Phone:

 

High School Counselor:

 

Counselor's Office Phone:

 

PSAT:

 

SAT:

 

ACT:

 

GPA:

 

Rank:

 

Clearing House Eligible:

Yes  No  

JUCO:

 

Year of Graduation:

 

JUCO Address

 

JUCO Coach:

 

College Coach Attended:

 

Coach's Office Phone:

 

Coach's Home Phone:

 

Advisor:

 

Advisor's Office Phone:

 

GPA:

 

Major Study:

 

Other Previous Colleges:

 
Athletic Information

Height:

 

Weight:

 

Bat:

 

Throw:

 

Position (Primary):

 

Position (Secondary):

 

60 YD:

 

40 YD:

 

JUGS MPH:

 

Other Sports Lettered In:

 

Summer/Fall Team You Play With:

Team Name: 

Coach's Name:

 

Coach's Phone:

 

Coach's E-Mail:

 

Team Website:

 

Best Player You Played Agains Last Year:

 

School:

 

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