Join The Jayhawks!

Name:
Phone:
Date of Graduation:
Street Address:
City:
State: Zip:
Age: Height:

Fathers Name:
Occupation:

Mothers Name:
Occupation:

E-mail:
High School:
High School Phone:
High School Address:
Expected College Major:
GPA: Class Rank: Out of

Will you apply for financial aid? Yes | No
Test Scores PSAT: Verbal Math:
Test Scores SAT: Verbal Math:
Total:

Your primary position:
High School Coach:
Phone:
Awards/Honors:
Name of AAU Team:
Name of AAU Coach:
Phone:

List your top five college prospects

Thank you for your interest in JCC Athletics!

	Jamestown Community College Women's Basketball Prospective Players Interested in being a Lady Jayhawk? Fill out this Online Form or send in the form via snail mail by printing it out and sending it to: Keith Martin PHED 525 Falconer Street Jamestown, NY 14702-0020
	Name: Phone: Date of Graduation: Street Address: City: State: Zip: Age: Height: Fathers Name: Occupation: Mothers Name: Occupation: E-mail: High School: High School Phone: High School Address: Expected College Major: GPA: Class Rank: Out of Will you apply for financial aid? Yes \| No Test Scores PSAT: Verbal Math: Test Scores SAT: Verbal Math: Total: Your primary position: High School Coach: Phone: Awards/Honors: Name of AAU Team: Name of AAU Coach: Phone: List your top five college prospects Thank you for your interest in JCC Athletics!