VOLLEYBALL PROSPECTIVE PLAYER QUESTIONNAIRE    
 Please fill out form as completely as possible

*required field

I am interested in participating in:

indoor volleyball only   sand volleyball only   both sports


Personal Information

*Name:        
Cell Phone: Home Phone:
 
E-Mail: Date of Birth:
 
Address:        
City: State: Zip:


Family Information
Father's Name: Occupation:
Address, City, State, Zip (if different):
 
Father's Phone    
Mother's Name: Occupation:
Address, City, State, Zip (if different):
 
Mother's Phone:    

 

Siblings/Relatives You Live With (include name, age & relationship of each):




Academic Information

High School/Prep School Name:        
HS Address:        
HS City: HS State: HS Zip:
HS Phone Number: Graduation Date:    
HS Counselor's Name:        
Core Grade Point Average:        
SAT Overall Score: SAT Math Score:    
SAT Written Score: SAT Reading Score:    
ACT Composite Score:        
TOEFL (if an international student):        

List any other high schools you attended (with address and grade point average there):


Are you registered with the NCAA Clearinghouse? Yes   No


What are your top 3 choices as a possible academic major?
1.   2.   3.


Transfer Students Only

List All Other Schools Attended (in order, most recent first)

School                              Location                          GPA & Credits                  Years Attended
      

      

      


Volleyball Information

Position:  OH   M   OPP   S    L    DS

Height:
Weight:
    
Standing
Reach:
Dominant
Hand:
 Left  Right  Both
 Block
Jump:
  
Approach
Jump:



 

High School:
JC Attended:
USAV Club Team:
  
HS Coach:
 JC Coach:
USAV Coach:
HS Coach's
Phone:
JC Coach's
Phone:
USAV Coach's
Phone:
HS Coach's
E-Mail:		 JC Coach's
E-Mail:		 USAV Coach's
E-Mail:

 

Please list all volleyball Awards/Honors/Accomplishments:


Other schools you are interested in:

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Mercer University Athletics

1400 Coleman Avenue
Macon, Ga.  31207-0001
478-301-2994

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