Questionnaire

Personal Information

First Name:
Last Name: MI:

Mailing Address:
Street:
City: St: Zip:
Telephone:
Email: Age:
Date of Birth:
Height: Weight:

Scholastic Information

High School:
City:
Grad Date:
Class Rank:
ACT/SAT Score:
HS GPA: College Transfer GPA:

Athletic Information

Position: 2nd Position:
HS Coach:
Phone:
Club Coach:
Phone:
Dominant Hand: Standing vertical jump:
Approach vertical jump:
Years on Varsity: Years playing club:
Strengths:
Weaknesses:
Athletic Honors/Awards (please include years):

Charla Farrell
Head Volleyball Coach
York College
1125 East 8th Street
York, NE 68467
Fax: (402) 363-5738
Email: cfarrell@york.edu

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