Baseball Player Interest Questionnaire

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Email address *

First name *

Last name *

Address 1 *

City *

State *

ZIP Code *

Cell Phone Number *

Father's Name & Occupation

Mother's Name & Occupation

Address of Parent/Guardian (if different from above)

Scholastic Information

High School

City, State

Date of Graduation

Intended Major

Long-Term Occupational Goal

Do you anticipate qualifying for a Pell Grant or other Financial Aid Programs?

Yes No Not Sure

Athletic Information

Primary Position

Secondary Position

Bats

Left Right Switch

Throws

Left Right

High School Coach

Coach's Phone

Summer/Fall Coach

Coach's Phone

60 Yard Speed

Radar Gun Speed

* required field